Healthcare Provider Details

I. General information

NPI: 1386730778
Provider Name (Legal Business Name): ALPHA OMEGA COUNSELING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 PHILADELPHIA AVE
READING PA
19607-2734
US

IV. Provider business mailing address

475 PHILADELPHIA AVE PO BOX 66
READING PA
19607-2734
US

V. Phone/Fax

Practice location:
  • Phone: 610-777-3306
  • Fax: 610-777-9494
Mailing address:
  • Phone: 610-777-3306
  • Fax: 610-777-9494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS005976L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberPS005976L
License Number StatePA

VIII. Authorized Official

Name: DR. ANTHONY JAMES FISCHETTO
Title or Position: DIRECTOR
Credential: ED.D.
Phone: 610-777-3306