Provider Demographics
NPI:1003466764
Name:LIFE GIVING COUNSELING SERVICES
Entity Type:Organization
Organization Name:LIFE GIVING COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ALICE
Authorized Official - Last Name:ZUCK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:215-538-9308
Mailing Address - Street 1:314 W BROAD ST STE 108
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1287
Mailing Address - Country:US
Mailing Address - Phone:215-538-9308
Mailing Address - Fax:
Practice Address - Street 1:314 W BROAD ST STE 108
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1287
Practice Address - Country:US
Practice Address - Phone:215-538-9308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty