Great Lakes Holistic Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC007128 Issued in PA

Legal business name

GREAT LAKES HOLISTIC COUNSELING

Practice address

4906 Richmond St
Erie, PA 16509-1978

Phone

(412) 592-5834

NPI assigned

Jul 21, 2015

Last updated

Jul 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandes Lynne Montgomery, MS, NCC, LPCNPI 1972939635

Title

Founder/Owner

Phone

(412) 592-5834

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandes Lynne Montgomery, MS, NCC, LPC

  • Professional Counselor
  • Erie, PA
  • NPI 1972939635
  Authorized official Same address or phone

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1609251545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 RICHMOND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091978",
            "telephone_number": "412-592-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 RICHMOND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091978",
            "telephone_number": "412-592-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES HOLISTIC COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "BRANDES",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "412-592-5834",
        "authorized_official_credential": "MS, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Gray
• Kolbe Gray, LPC
• Erica Grazioli, DO
• Great Lakes Anesthetists
• Great Lakes Family Chiropractic Center,PC
• Greater Erie Community Action Committee (Area Agency on Aging)
• Greater Erie Community Action Committee (GECAC D&A Services)
• Greater Erie Community Action Committee
• Greater Erie Surgery Center, LLC
• Lexyannah Irene Grebiner

• Professional Counselor in Erie, PA
• Providers in Erie, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.