Petkac Psychotherapy Services

LBN: Petkac Psychotherapy Services
Petkac Psychotherapy Services is an health care organization with primary practice located at 4021 W 12Th St , Erie PA 16505-3354. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Petkac Psychotherapy Services can be contacted via phone (814) 882-3861, or through Petkac, John S. via phone (814) 882-3861.

Contact Information

Primary practice address
4021 W 12Th St Erie PA 16505-3354
Phone: (814) 882-3861
Fax: (814) 833-7944
Website:
Map and Directions
Authorized official contact:
Name: Petkac, John S. Master of Arts (MA)
Phone: (814) 882-3861

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1508915463
LBN Legal business name Petkac Psychotherapy Services
DBA Doing business as
Authorized official Petkac, John S. Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Sep 24th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers