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General NPI Number Information
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NPI Number | 1902933898
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Entity Type | Organization
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Legal Business Name | AXIOM FAMILY COUNSELING SERVICES, INC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 630 CHERRY TREE LANE UNIONTOWN
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City | UNIONTOWN
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State | PA
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Zip | 15401
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Country | US
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Telephone | 724-439-0308
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Fax | 866-398-6217
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Provider Business Mailing Address
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Address Line | 225 WEST PITTSBURGH ST
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City | DELMONT
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State | PA
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Zip | 15626
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Country | US
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Telephone | 866-472-9466
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MRS. DENISE VISNICK
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Credential | MS
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Telephone | 866-472-9466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 433860
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 433860
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 433860
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 433860
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 433860
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 433860
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License Number State | PA
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