Organization · Type 2 NPI
Taking Flight Developmental Center, LLC
Professional Counselor · State College, PA
NPI number
1023407673
Active
Practice location
1981 Cato Ave, Suite 2
State College, PA 16801-2754
Fax (814) 954-4197
Mailing address
301 S Allen St Ste 106
State College, PA 16801-4862
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC008556 (PA) |
| Psychologist | 103T00000X | PS-016201 (PA) |
Professional Counselor: Definition to come...
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About NPI 1023407673
Taking Flight Developmental Center, LLC's National Provider Identifier is 1023407673, issued on Jan 21, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in State College, PA. The record was last updated on Nov 14, 2018.