Forensic Counseling Associates, LLC
Organization Active NPI Professional Counselor · Mount Pocono, PA
NPI 1174951933 · NPPES record last updated Oct 15, 2013
Key facts
- NPI
- 1174951933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC001023 (PA)
- Legal business name
- FORENSIC COUNSELING ASSOCIATES, LLC
- Practice address
- 1385 Pocono Blvd
Mount Pocono, PA 18344-1678 - Phone
- (570) 476-7704
- Fax
- (570) 421-3600
- NPI assigned
- Oct 14, 2013
- Organization subpart
- No
Authorized official
- Name
- Ms. Carol Haupt, LPC
- Title
- Co-Owner
- Phone
- (570) 476-7704
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 10
-
Lori Eileen Bertanzetti, LCSW
-
William Michael Burkit, MA, ATR-BC, LPC
-
Roberta Ann Fratzola, LPC
-
Malynda Galka, LSW
-
Carol Wendy Haupt, LPC
-
Sara Hegarty, LPC
-
Karen Holcomb, LSW
-
Donna Watson, LPC
National Provider Directory
- Tax ID family
- Forensic Counseling Assoc
Locations
1385 Pocono Blvd
Mount Pocono, PA 18344
Phone (570) 460-4379
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | PC001023 | PA | Yes |
Addresses
Primary practice location
1385 Pocono Blvd
Mount Pocono, PA 18344-1678
Mailing address
1385 Pocono Blvd
Mount Pocono, PA 18344-1678
Phone (570) 476-7704
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101586734 | Medicaid | PA |
Other providers in Mount Pocono, PA
- Halime El-Hajmoussa
- Lauren Englert
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- Stephen Flyte
- Forensic Counseling Associates LLC
- Susan Franchetti
- Nickesha Leona Francis
- Marie Des Lys Francois
- Danyelle Corinne Frantz
- Vanessa Frasier
All providers in Mount Pocono, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.