Organization
H.S.A. COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SHAWN BRYAN SR. B.A. (EXECUTIVE DIRECTOR)
(717) 394-5334
Entity
Organization
Contact information
Practice address
107 E LOCUST ST, EPHRATA, PA 17522-2717
(717) 394-5334
(717) 738-2694
Mailing address
PO BOX M, MIFFLIN, PA 17058-0913
(717) 394-5334
(717) 436-9818
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
367073
PA
261Q00000X
Clinic/Center
Primary
367073
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007743280004
—
PA
05
—
1007743280007
—
PA
Enumeration date
11/15/2006
Last updated
02/09/2012
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