Provider Demographics
NPI:1285969972
Name:R CONDON CONSULTING
Entity type:Organization
Organization Name:R CONDON CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RHIANN
Authorized Official - Middle Name:W
Authorized Official - Last Name:CONDON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MSW, ABD
Authorized Official - Phone:724-504-1229
Mailing Address - Street 1:115 MAR VEL DR
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1411
Mailing Address - Country:US
Mailing Address - Phone:724-504-1229
Mailing Address - Fax:
Practice Address - Street 1:115 MAR VEL DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1411
Practice Address - Country:US
Practice Address - Phone:724-504-1229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA111556 (ICRC)101YA0400X
OH041021101YA0400X
PA249569 (NCC)101YP2500X
OHC0601027101YP2500X
MI6401008337101YP2500X
PASW1270311041C0700X
MI68020803711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty