Healthcare Provider Details

I. General information

NPI: 1548373541
Provider Name (Legal Business Name): NEW DIRECTIONS COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 02/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 VIP DR STE 310
WEXFORD PA
15090-6936
US

IV. Provider business mailing address

117 VIP DR STE 310
WEXFORD PA
15090-6936
US

V. Phone/Fax

Practice location:
  • Phone: 724-934-3905
  • Fax: 724-934-3906
Mailing address:
  • Phone: 724-934-3905
  • Fax: 724-934-3906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS006300L
License Number StatePA

VIII. Authorized Official

Name: MR. MICHAEL NARD SCHNEIDER
Title or Position: OWNER
Credential: PSYD
Phone: 724-934-3905