Healthcare Provider Details

I. General information

NPI: 1902933898
Provider Name (Legal Business Name): AXIOM FAMILY COUNSELING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 CHERRY TREE LANE UNIONTOWN
UNIONTOWN PA
15401
US

IV. Provider business mailing address

225 WEST PITTSBURGH ST
DELMONT PA
15626
US

V. Phone/Fax

Practice location:
  • Phone: 724-439-0308
  • Fax: 866-398-6217
Mailing address:
  • Phone: 866-472-9466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number433860
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number433860
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number433860
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number433860
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number433860
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number433860
License Number StatePA

VIII. Authorized Official

Name: MRS. DENISE VISNICK
Title or Position: COO
Credential: MS
Phone: 866-472-9466