Organization
CHESTNUT RIDGE COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL QUINN (CEO)
(724) 437-0729
Entity
Organization
Contact information
Practice address
100 NEW SALEM RD, SUITE 116, UNIONTOWN, PA 15401-8936
(724) 437-0729
(724) 437-2761
Mailing address
100 NEW SALEM RD, SUITE 116, UNIONTOWN, PA 15401-8936
(724) 437-0729
(724) 437-2761
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00548066
—
PA
05
—
100772109
—
PA
01
—
328835
VALUE OPTIONS
PA
01
—
389744
HIGHMARK
PA
01
—
CH389744
MAGELLAN
PA
Enumeration date
03/03/2006
Last updated
05/12/2021
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