Provider Demographics
NPI:1528642816
Name:MOUNTAIN VIEW COUNSELING & WELLNESS CENTER
Entity type:Organization
Organization Name:MOUNTAIN VIEW COUNSELING & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELSI
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:GRAFF
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-919-2935
Mailing Address - Street 1:109 MIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:PA
Mailing Address - Zip Code:17032-9628
Mailing Address - Country:US
Mailing Address - Phone:717-919-2935
Mailing Address - Fax:
Practice Address - Street 1:1299 ARMSTRONG VALLEY RD
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:PA
Practice Address - Zip Code:17032-9417
Practice Address - Country:US
Practice Address - Phone:717-759-5810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)