Andrea Colaiaco, MED

Individual provider Active NPI Mental Health Counselor · Greenville, PA

NPI 1760639140 · NPPES record last updated Aug 27, 2008

Key facts

NPI
1760639140
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
77 N Main St
Greenville, PA 16125-1781
Phone
(724) 588-6490
Fax
(724) 588-6475
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

77 N Main St
Greenville, PA 16125-1781

Mailing address

2201 E State St
Hermitage, PA 16148-2727
Phone (724) 981-7141

Other identifiers

IdentifierTypeStateIssuer
100000380 CCC'S #MedicaidPA

Other providers in Greenville, PA

All providers in Greenville, PA · Mental Health Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.