Provider Demographics
NPI:1144038449
Name:BLIVEN COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:BLIVEN COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BLIVEN
Authorized Official - Suffix:
Authorized Official - Credentials:CSW
Authorized Official - Phone:484-707-2049
Mailing Address - Street 1:1013 BROOKSIDE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9598
Mailing Address - Country:US
Mailing Address - Phone:484-707-2049
Mailing Address - Fax:561-948-2803
Practice Address - Street 1:1013 BROOKSIDE RD STE 104
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9598
Practice Address - Country:US
Practice Address - Phone:484-707-2049
Practice Address - Fax:561-948-2803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty