Provider Demographics
NPI:1154164804
Name:EYHO BEHAVIORAL HEALTH SERVICES
Entity type:Organization
Organization Name:EYHO BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CLINICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHILLING-MANSOUR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, EDD
Authorized Official - Phone:814-244-7722
Mailing Address - Street 1:1039 BEAVER RUN AVE
Mailing Address - Street 2:
Mailing Address - City:SIDMAN
Mailing Address - State:PA
Mailing Address - Zip Code:15955-4303
Mailing Address - Country:US
Mailing Address - Phone:814-244-7722
Mailing Address - Fax:
Practice Address - Street 1:1039 BEAVER RUN AVE
Practice Address - Street 2:
Practice Address - City:SIDMAN
Practice Address - State:PA
Practice Address - Zip Code:15955-4303
Practice Address - Country:US
Practice Address - Phone:814-244-7722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty