Organization
ADELPHOI VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LEIGH HERSHBERGER (REVENUE CYCLE MANAGER)
(724) 804-7193
Entity
Organization
Contact information
Practice address
1119 VILLAGE WAY, LATROBE, PA 15650
(724) 520-1111
(724) 520-1878
Mailing address
1119 VILLAGE WAY, LATROBE, PA 15650
(724) 520-1111
(724) 520-1878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
423910
PA
103TH0004X
Health Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
2084F0202X
Forensic Psychiatry Physician
423910
PA
2084N0400X
Neurology Physician
423910
PA
2084P0005X
Neurodevelopmental Disabilities Physician
423910
PA
251K00000X
Public Health or Welfare Agency
423910
PA
251S00000X
Community/Behavioral Health Agency
Primary
423910
PA
261Q00000X
Clinic/Center
423910
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
423910
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
423910
PA
323P00000X
Psychiatric Residential Treatment Facility
423910
PA
Other
Enumeration date
03/26/2007
Last updated
11/24/2020
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