Organization
BERKS COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE MARY AXFORD (DEPUTY DIRECTOR)
(610) 373-4281
Entity
Organization
Contact information
Practice address
645 PENN STREET, 2ND FLOOR, READING, PA 19601
(610) 373-4281
(610) 373-3779
Mailing address
645 PENN STREET, 2ND FLOOR, READING, PA 19601
(610) 373-4281
(610) 373-3779
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
067063
PA
101YM0800X
Mental Health Counselor
206900
PA
101YM0800X
Mental Health Counselor
223690
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001042570
—
PA
05
—
001898953
—
PA
01
—
001937640
MA PROVIDER I.D.
PA
01
—
093397000
MAGELLAN
PA
05
—
100737431
—
PA
01
—
1547737
GATEWAY CBHNP
PA
01
—
2022751
AMERIHEALTH MERCY
PA
01
—
543489000
MAGELLAN PROVIDER I.D.
PA
Enumeration date
06/25/2006
Last updated
02/09/2012
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