Provider Demographics
NPI:1609232750
Name:CAMBRIA SOMERSET COUNSELING, LLC
Entity type:Organization
Organization Name:CAMBRIA SOMERSET COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:V
Authorized Official - Last Name:CONWAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:814-262-7140
Mailing Address - Street 1:1360 EISENHOWER BLVD
Mailing Address - Street 2:SUITE 504
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3338
Mailing Address - Country:US
Mailing Address - Phone:814-262-7140
Mailing Address - Fax:814-262-7169
Practice Address - Street 1:1360 EISENHOWER BLVD
Practice Address - Street 2:SUITE 504
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3338
Practice Address - Country:US
Practice Address - Phone:814-262-7140
Practice Address - Fax:814-262-7169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0147381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty