Provider Demographics
NPI:1104674761
Name:STRAIGHT TALK COUNSELING LLC
Entity type:Organization
Organization Name:STRAIGHT TALK COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:ALEXIS
Authorized Official - Last Name:COREY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:484-797-1372
Mailing Address - Street 1:19 N BROOKE ST
Mailing Address - Street 2:
Mailing Address - City:ROBESONIA
Mailing Address - State:PA
Mailing Address - Zip Code:19551-1234
Mailing Address - Country:US
Mailing Address - Phone:484-797-1372
Mailing Address - Fax:
Practice Address - Street 1:19 N BROOKE ST
Practice Address - Street 2:
Practice Address - City:ROBESONIA
Practice Address - State:PA
Practice Address - Zip Code:19551-1234
Practice Address - Country:US
Practice Address - Phone:484-797-1372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty