Provider Demographics
NPI:1285099499
Name:T.W. PONESSA & ASSOCIATES COUNSELING SERVICES INC.
Entity type:Organization
Organization Name:T.W. PONESSA & ASSOCIATES COUNSELING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:KASSAHUN
Authorized Official - Suffix:
Authorized Official - Credentials:MS LPC
Authorized Official - Phone:717-233-4027
Mailing Address - Street 1:900 N 6TH STREET
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17102-2500
Mailing Address - Country:US
Mailing Address - Phone:717-233-4027
Mailing Address - Fax:717-233-4047
Practice Address - Street 1:900 N 6TH ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102-1703
Practice Address - Country:US
Practice Address - Phone:717-233-4027
Practice Address - Fax:717-233-4047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008569251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health