Provider Demographics
NPI:1003095803
Name:LAUREL CREEK COUNSELING
Entity Type:Organization
Organization Name:LAUREL CREEK COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SAUTER
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:570-966-3266
Mailing Address - Street 1:336 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MIFFLINBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17844-1318
Mailing Address - Country:US
Mailing Address - Phone:570-966-9181
Mailing Address - Fax:570-966-4776
Practice Address - Street 1:336 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MIFFLINBURG
Practice Address - State:PA
Practice Address - Zip Code:17844-1318
Practice Address - Country:US
Practice Address - Phone:570-966-9181
Practice Address - Fax:570-966-4776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty