Glen Mills Counseling Center Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017215 Issued in PA

Legal business name

GLEN MILLS COUNSELING CENTER INC

Practice address

736 Baltimore Pike
Suite 3
Glen Mills, PA 19342-1074

Phone

(610) 656-1424

NPI assigned

Nov 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theresa Agostinelli

Title

Owner

Phone

(610) 656-1424

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1033661350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 BALTIMORE PIKE",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 BALTIMORE PIKE",
            "address_2": "SUITE 3",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421074",
            "telephone_number": "610-656-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN MILLS COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "AGOSTINELLI",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-656-1424"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Alexander Gibbs
• Nicholas A Giuliani, MD
• Dorothy Elizabeth Gjurin, LPC
• Glanville Psychological Associates, LLP
• Jamie Gleich
• Glen Mills Dental PLLC
• Golden Horizons Healthcare LLC
• Timothy Golder
• Gould Psychological Services, P.C.
• Karen Suzanne Gould, PSYCHOLOGIST

• Clinical Social Worker in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.