Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Berks Therapeutic Alliance

Organization Addiction (Substance Use Disorder) Counselor · NPI 1497167167

Berks Therapeutic Alliance is an Addiction (Substance Use Disorder) Counselor in Wyomissing, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
Specialties on file
3

Practice location Address checks out

845 N Park Rd Ste 101
Wyomissing, PA 19610-1342
Phone: (610) 334-8131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence MD426302 (PA)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence PC002868 (PA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD426302 (PA)

Record details

NPI number1497167167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scot Depue — Ceo · (484) 769-7626
Other names Keystone Blue Hen Pc
NPI enumeratedMay 28, 2014
Last updated in NPPESMay 28, 2014
Mailing address845 N Park Rd, Suite 101, Wyomissing, PA 19610-1342

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