MEDICARE: CRANBERRY CONFIDENTIAL COUNSELING AND COACHING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305R00000X	Preferred Provider Organization	PC008344	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101YA0400X	OTHER	PA	INDIVIDUAL IDENTIFIER
2	101YM0800X	OTHER	PA	INDIVIDUAL PROVIDER
3	101YP2500X	OTHER	PA	INDIVIDUAL IDENTIFIER

General Provider Information

NPI Number	:	1649705674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRANBERRY CONFIDENTIAL COUNSELING AND COACHING SERVICES

Provider Business Mailing Address
First Line	:	2009 MACKENZIE WAY STE 100
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5338
Country	:	US
Telephone Number	:	724-720-9320
Fax Number	:

Provider Business Practice Location Address
First Line	:	2009 MACKENZIE WAY STE 100
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5338
Country	:	US
Telephone Number	:	724-720-9320
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MRS. SUSAN LEA JOHNSON
Credential	:	LPC
Telephone Number	:	724-720-9320

Provider Enumeration Date	:	04/27/2017
Last Update Date	:	04/27/2017

Similar Medicare Providers

1194798413 — AMY K SHANNON DO
Practice Location Address:

2009 MACKENZIE WAY STE 100
CRANBERRY TOWNSHIP, PA
16066-5338

Practice Phone: 724-698-7334
Practice Fax:

1629111893 — VITAS HEALTHCARE CORPORATION ATLANTIC
Practice Location Address:

2009 MACKENZIE WAY , SUITE 110
CRANBERRY TOWNSHIP, PA
16066-5338

Practice Phone: 412-799-2101
Practice Fax: 412-799-2110

1366629636 — DR. ELIZABETH BLOCHER MCCABE LCSW
Practice Location Address:

2009 MACKENZIE WAY , SUITE 100
CRANBERRY TOWNSHIP, PA
16066-5338

Practice Phone: 888-364-5977
Practice Fax: 724-720-9406

1255671301 — TAMMY RENEE GALUSKA PH.D., BCBA-D, LBS
Practice Location Address:

2009 MACKENZIE WAY , STE 100
CRANBERRY TOWNSHIP, PA
16066-5338

Practice Phone: 843-614-7317
Practice Fax:

1750782348 — ALISON PANICCIA LPC, MT-BC
Practice Location Address:

2009 MACKENZIE WAY STE 100
CRANBERRY TOWNSHIP, PA
16066-5338

Practice Phone: 866-237-6125
Practice Fax:

1316450315 — MENTAL FITNESS, LLC
Practice Location Address:

2009 MACKENZIE WAY STE 100
CRANBERRY TOWNSHIP, PA
16066-5338

Practice Phone: 412-334-9790
Practice Fax:

Directions to “CRANBERRY CONFIDENTIAL COUNSELING AND COACHING SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.