Provider Demographics
NPI:1053636365
Name:ASSOCIATES IN ECLECTIC PSYCHOTHERAPY, LLC
Entity Type:Organization
Organization Name:ASSOCIATES IN ECLECTIC PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSALIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRIGLIA-LIBERATORI
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:610-428-5400
Mailing Address - Street 1:240 RIDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-2585
Mailing Address - Country:US
Mailing Address - Phone:610-428-5400
Mailing Address - Fax:610-250-1291
Practice Address - Street 1:1412 SULLIVAN TRL
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18040-1114
Practice Address - Country:US
Practice Address - Phone:610-428-5400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004357101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty