Provider Demographics
NPI:1013226711
Name:ABOVE AND BEYOND COUNSELING SERVICES OF PA, LLC
Entity Type:Organization
Organization Name:ABOVE AND BEYOND COUNSELING SERVICES OF PA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:WYNANTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEWLLL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:732-987-3946
Mailing Address - Street 1:1655 MANHEIM PIKE
Mailing Address - Street 2:SUITE OB4
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3061
Mailing Address - Country:US
Mailing Address - Phone:973-239-0948
Mailing Address - Fax:973-239-0972
Practice Address - Street 1:1655 MANHEIM PIKE
Practice Address - Street 2:SUITE OB4
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-3061
Practice Address - Country:US
Practice Address - Phone:973-239-0948
Practice Address - Fax:973-239-0972
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABOVE AND BEYOND COUNSELING OF NJ, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health