Provider Demographics
NPI:1164124996
Name:BUILD A LIFE WORTH LIVING
Entity Type:Organization
Organization Name:BUILD A LIFE WORTH LIVING
Other - Org Name:BUILD A LIFE WORTH LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:SOLEANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-409-5690
Mailing Address - Street 1:527 E LEHMAN ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17046-4037
Mailing Address - Country:US
Mailing Address - Phone:717-409-5690
Mailing Address - Fax:
Practice Address - Street 1:701 CUMBERLAND ST STE 209
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-5231
Practice Address - Country:US
Practice Address - Phone:717-409-5690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty