Omni Blue
NPI #1134903545 in Latrobe, Pennsylvania
Provider Information
- NPI Number
- 1134903545
- Entity Type
- Organization
- Organization Name
- Omni Blue
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Aug 24, 2023
- Last Updated
- Aug 24, 2023
Practice Location
- Address
- 1110 RIDGE AVE # 1
- City
- Latrobe
- State
- Pennsylvania
- ZIP Code
- 15650-1926
- Phone
- (724) 953-1760
Authorized Official
- Name
- MRS. LAURALEE GRACE VARGO, MA, ATR-BC, LPC
- Title
- LICENSED PROFESSIONAL COUNSELOR
- Phone
- (724) 953-1760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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