Provider Demographics
NPI:1063441962
Name:FAIRVIEW COUNSELING, INC.
Entity type:Organization
Organization Name:FAIRVIEW COUNSELING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:REBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-396-9091
Mailing Address - Street 1:PO BOX 13614
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612-3614
Mailing Address - Country:US
Mailing Address - Phone:610-396-9091
Mailing Address - Fax:610-396-9092
Practice Address - Street 1:1255 PERKIOMEN AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-1337
Practice Address - Country:US
Practice Address - Phone:610-396-9091
Practice Address - Fax:610-396-9092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty