Provider Demographics
NPI:1417379231
Name:ADDICTION & BEHAVIORAL COUNSELING ASSOCIATES
Entity type:Organization
Organization Name:ADDICTION & BEHAVIORAL COUNSELING ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FACILTY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDEE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKEEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-513-5775
Mailing Address - Street 1:1122 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-4480
Mailing Address - Country:US
Mailing Address - Phone:724-770-9820
Mailing Address - Fax:
Practice Address - Street 1:1122 7TH AVE
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-4480
Practice Address - Country:US
Practice Address - Phone:724-843-0129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-14
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA047053251K00000X, 261Q00000X, 261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No251K00000XAgenciesPublic Health or Welfare
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center