Provider Demographics
NPI:1942194139
Name:MOOREHEAD COUNSELING LLC
Entity type:Organization
Organization Name:MOOREHEAD COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MOOREHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:410-924-6851
Mailing Address - Street 1:405 BRIAR VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-1115
Mailing Address - Country:US
Mailing Address - Phone:410-924-6851
Mailing Address - Fax:410-924-6851
Practice Address - Street 1:405 BRIAR VALLEY RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-1115
Practice Address - Country:US
Practice Address - Phone:410-924-6851
Practice Address - Fax:410-924-6851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty