1790846491 NPI number — NEW DIRECTIONS COUNSELING SERVICES, LLC

Table of content: (NPI 1790846491)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790846491 NPI number — NEW DIRECTIONS COUNSELING SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW DIRECTIONS COUNSELING SERVICES, LLC
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:
MICHAEL N. SCHNEIDER, PSY.D., LLC
Provider Other Organization Name Type Code:
4
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:
1790846491
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2607 NICHOLSON RD
Provider Second Line Business Mailing Address:
SUITE 2100
Provider Business Mailing Address City Name:
SEWICKLEY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15143-8580
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-934-3905
Provider Business Mailing Address Fax Number:
724-934-3906

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2607 NICHOLSON RD
Provider Second Line Business Practice Location Address:
SUITE 2100
Provider Business Practice Location Address City Name:
SEWICKLEY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15143-8580
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-934-3905
Provider Business Practice Location Address Fax Number:
724-934-3906
Provider Enumeration Date:
12/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SCHNEIDER
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
724-934-3905

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  PS006300L , 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)

  • Identifier: 1620742 . This is a "HIGHMARK PA BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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