Watershed Counseling Services, Llc
LBN: Watershed Counseling Services, Llc
Watershed Counseling Services, Llc is an health care organization with primary practice located at 110 E Main St Ste 1 , North East PA 16428-1333. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Watershed Counseling Services, Llc can be contacted via phone (814) 347-5018, or through Frank-Coccarelli, Angela via phone (814) 347-5018.
Contact Information
Primary practice address
110 E Main St Ste 1
North East PA 16428-1333
Phone: (814) 347-5018
Fax: (814) 347-5186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | PC010131 | Pennsylvania |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | PC010131 | Pennsylvania |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | PC010131 | Pennsylvania |
Profile Details
| NPI number | 1548778202 |
|---|---|
| LBN Legal business name | Watershed Counseling Services, Llc |
| DBA Doing business as | |
| Authorized official | Frank-Coccarelli, Angela LPC, NCC, CAADC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 16th, 2018 |
| Last updated | Jan 18th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548778202 | NPPES |
| Pennsylvania | Other | PC010131 | LICENSED PROFESSIONAL COUNSELOR |
| Pennsylvania | Other | 319006 | LICENSED PROFESSIONAL COUNSELOR |
| Pennsylvania | MEDICAID | 1035120880001 | LICENSED PROFESSIONAL COUNSELOR |
| Pennsylvania | Other | 12348 | LICENSED PROFESSIONAL COUNSELOR |
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