Provider Demographics
NPI:1528313756
Name:QUANTUM REVOLUTION COUNSELING SERVICES INC.
Entity type:Organization
Organization Name:QUANTUM REVOLUTION COUNSELING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:MCLAREN
Authorized Official - Last Name:TREU
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:724-816-0373
Mailing Address - Street 1:20399 ROUTE 19, BRANDT DRIVE , ONE LANDMARK NORTH
Mailing Address - Street 2:SUITE 205A
Mailing Address - City:CRANBERRY TWP.
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6139
Mailing Address - Country:US
Mailing Address - Phone:724-816-0373
Mailing Address - Fax:724-772-8069
Practice Address - Street 1:20399 ROUTE 19, BRANDT DRIVE
Practice Address - Street 2:SUITE 205A
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-6139
Practice Address - Country:US
Practice Address - Phone:724-816-0373
Practice Address - Fax:724-772-8069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-13
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
PAPC002681101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty