Provider Demographics
NPI:1447962170
Name:GREGORY & GREGORY COUNSELING, LLC
Entity type:Organization
Organization Name:GREGORY & GREGORY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:KALIDEN
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:724-255-1668
Mailing Address - Street 1:1060 CORPORATION ST
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2609
Mailing Address - Country:US
Mailing Address - Phone:724-255-1668
Mailing Address - Fax:
Practice Address - Street 1:20421 ROUTE 19 STE 310
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-7517
Practice Address - Country:US
Practice Address - Phone:724-315-5414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty