Provider Demographics
NPI:1215054408
Name:BETHANY COUNSELING MINISTRY-READING
Entity type:Organization
Organization Name:BETHANY COUNSELING MINISTRY-READING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:RIES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYCHOLOGIST
Authorized Official - Phone:610-375-9212
Mailing Address - Street 1:611 WASHINGTON ST
Mailing Address - Street 2:PO BOX 402
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-3503
Mailing Address - Country:US
Mailing Address - Phone:610-375-9212
Mailing Address - Fax:610-375-0704
Practice Address - Street 1:611 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3503
Practice Address - Country:US
Practice Address - Phone:610-375-9212
Practice Address - Fax:610-375-0704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005872L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty