T. W. Ponessa and Associates Counseling Services, Inc.
Organization Active NPI Community/Behavioral Health Agency · Columbia, PA
NPI 1245489277 · NPPES record last updated Sep 15, 2008
Key facts
- NPI
- 1245489277
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 311720 (PA)
- Legal business name
- T. W. PONESSA AND ASSOCIATES COUNSELING SERVICES, INC.
- Practice address
- 901 Ironville Pike
Columbia, PA 17512-9513 - Phone
- (717) 684-7500
- NPI assigned
- Sep 15, 2008
- Organization subpart
- No
Authorized official
- Name
- Catherine Ann Deguire, MS, JD
- Title
- Ceo
- Phone
- (717) 560-7917
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- T W Ponessa and Associates Counseling Services Inc
Locations
2141 Oregon Pike
Lancaster, PA 17601
Phone (717) 617-2706
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 311720 | PA | Yes |
Addresses
Primary practice location
901 Ironville Pike
Columbia, PA 17512-9513
Mailing address
2141 Oregon Pike
Lancaster, PA 17601-4604
Phone (717) 560-7917
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100775933 | Medicaid | PA |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2008. 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.