Provider Demographics
NPI:1437907771
Name:SYNERGETIC COUNSELING & WELLNESS
Entity type:Organization
Organization Name:SYNERGETIC COUNSELING & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:724-989-6980
Mailing Address - Street 1:335 VERNON DR
Mailing Address - Street 2:
Mailing Address - City:WEST NEWTON
Mailing Address - State:PA
Mailing Address - Zip Code:15089-1046
Mailing Address - Country:US
Mailing Address - Phone:724-989-6980
Mailing Address - Fax:724-359-4341
Practice Address - Street 1:7546 ROUTE 30
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-7528
Practice Address - Country:US
Practice Address - Phone:724-989-6980
Practice Address - Fax:724-359-4341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty