1336501923 NPI number — TWO ROADS COUNSELING SERVICES, INC

Table of content: DR. GURPREET KAUR HANS RAWAT M.D (NPI 1306037643)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336501923 NPI number — TWO ROADS COUNSELING SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TWO ROADS COUNSELING SERVICES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336501923
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/23/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
224 SHADY LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PUNXSUTAWNEY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15767-3370
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-952-8446
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
224 SHADY LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PUNXSUTAWNEY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15767-3370
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-952-8446
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/23/2016

Additional Information

Authorized Official

Authorized Official Last Name:
CARLTON
Authorized Official First Name:
HALLIE
Authorized Official Middle Name:
Authorized Official Title or Position:
PROJECT AND FACILITY DIRECTOR
Authorized Official Telephone Number:
814-952-8446

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  337112 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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