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

Petkac Psychotherapy Services

Organization Counselor · NPI 1508915463

Petkac Psychotherapy Services is a Counselor in Erie, Pennsylvania. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

4021 W 12th St
Erie, PA 16505-3354
Phone: (814) 882-3861
Fax: (814) 833-7944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1508915463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Petkac — Owner · (814) 882-3861
NPI enumeratedJanuary 9, 2007
Last updated in NPPESSeptember 24, 2013
Mailing address4021 W 12th St, Erie, PA 16505-3354

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