Provider Demographics
NPI:1386167138
Name:CONNECTIONS COUNSELING OF WESTERN PA
Entity type:Organization
Organization Name:CONNECTIONS COUNSELING OF WESTERN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:S
Authorized Official - Last Name:MARSILI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:724-516-1569
Mailing Address - Street 1:231 S MAIN ST STE 404
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3115
Mailing Address - Country:US
Mailing Address - Phone:724-516-1569
Mailing Address - Fax:
Practice Address - Street 1:231 S MAIN STREET
Practice Address - Street 2:SUITE 404
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-516-1569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-24
Last Update Date:2017-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health