Provider Demographics
NPI:1821969353
Name:MCDONOUGH COUNSELING & COACHING LLC
Entity type:Organization
Organization Name:MCDONOUGH COUNSELING & COACHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CAADC
Authorized Official - Phone:570-561-6504
Mailing Address - Street 1:2126 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18509-1527
Mailing Address - Country:US
Mailing Address - Phone:570-561-6504
Mailing Address - Fax:
Practice Address - Street 1:2126 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18509-1527
Practice Address - Country:US
Practice Address - Phone:570-561-6504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)