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Petkac Psychotherapy Services
Community/Behavioral Health Agency in Erie, Pennsylvania
NPI 1508915463

Petkac Psychotherapy Services is a Community/Behavioral Health Agency based in Erie, PA. Petkac Psychotherapy Services practices in Erie, PA. The NPI Number for Petkac Psychotherapy Services is 1508915463 and holds a License No. (Pennsylvania).

The current practice location address for Petkac Psychotherapy Services is 4021 W 12Th St, Erie, PA and can be reached out via phone at 814-882-3861 and via fax at 814-833-7944. You can also correspond with Petkac Psychotherapy Services through the mailing address at 4021 W 12TH ST, ERIE, PA - 16505-3354 (mailing address contact number: 814-882-3861).

Location: 4021 W 12Th St, Erie, PA, 16505-3354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508915463
Provider Name
Petkac Psychotherapy Services
Credential
Provider Entity Type
Organization
Address
4021 W 12Th St, Erie, PA, 16505-3354
Phone Number
814-882-3861
Fax Number
814-833-7944
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4021 W 12Th St
City
Erie
State
Pennsylvania
Zip
16505-3354
Phone Number
814-882-3861
Fax Number
814-833-7944
person
Provider Business Mailing Address Details
Address
4021 W 12Th St
City
Erie
State
Pennsylvania
Zip
16505-3354
Phone Number
814-882-3861
Fax Number
814-833-7944
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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