Organization Active NPI

Personal Habilitation Services LLC

  • Community/Behavioral Health Agency
  • Du Bois, PA
National Provider Identifier
1265760557
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PERSONAL HABILITATION SERVICES LLC
Practice address
150 W Dubois Ave
Ste G
Du Bois, PA 15801-3000
Phone
(814) 375-7091
NPI assigned
Nov 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Sean Garred, M.ED, LPC, CRC
Title
Senior Member
Phone
(814) 375-7090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

150 W Dubois Ave
Ste G
Du Bois, PA 15801-3000

Mailing address

150 W Dubois Ave
Ste G
Du Bois, PA 15801-3000
Phone (814) 375-7091

National Provider Directory

National Provider Directory

Locations

150 W Dubois Ave
Ste G
Du Bois, PA 15801
Phone (814) 375-7091

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1265760557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W DUBOIS AVE",
            "address_2": "STE G",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013000",
            "telephone_number": "814-375-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W DUBOIS AVE",
            "address_2": "STE G",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013000",
            "telephone_number": "814-375-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "GARRED",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "SENIOR MEMBER",
        "authorized_official_telephone_number": "814-375-7090",
        "authorized_official_credential": "M.ED, LPC, CRC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.