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Watershed Counseling Services, Llc
Adolescent and Children Mental Health Clinic/Center in North East, Pennsylvania
NPI 1548778202

Watershed Counseling Services, Llc is an Adolescent and Children Mental Health Clinic/Center based in North East, PA and is specialized in Adolescent and Children Mental Health. Watershed Counseling Services, Llc practices in North East, PA. The NPI Number for Watershed Counseling Services, Llc is 1548778202 and holds a License No. PC010131 (Pennsylvania).

The current practice location address for Watershed Counseling Services, Llc is 143 W. Main St., North East, PA and can be reached out via phone at 814-347-5018 and via fax at 814-347-5186.

Location: 143 W. Main St., North East, PA, 16428-1333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548778202
Provider Name
Watershed Counseling Services, Llc
Credential
Provider Entity Type
Organization
Address
143 W. Main St., North East, PA, 16428-1333
Phone Number
814-347-5018
Fax Number
814-347-5186
Provider Enumeration Date
01/16/2018
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
319006 01 NATIONAL CERTIFIED COUNSELOR
PC010131 01 PA LICENSED PROFESSIONAL COUNSELOR
1035120880001 05 PA
12348 01 PA CERTIFIED ADVANCED ALCOHOL & DRUG COUNSELOR
institution
Provider Business Practice Location Address Details
Address
143 W. Main St.
City
North East
State
Pennsylvania
Zip
16428-1333
Phone Number
814-347-5018
Fax Number
814-347-5186
person
Provider Business Mailing Address Details
Address
143 W. Main St.
City
North East
State
Pennsylvania
Zip
16428-1333
Phone Number
814-347-5018
Fax Number
814-347-5186
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
PC010131 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
PC010131 (Pennsylvania)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
PC010131 (Pennsylvania)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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