Provider Demographics
NPI:1225581622
Name:MARIA AMATUCCI COUNSELING SERVICES
Entity Type:Organization
Organization Name:MARIA AMATUCCI COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ANGELINA
Authorized Official - Last Name:AMATUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:717-614-9717
Mailing Address - Street 1:4076 MARKET ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4200
Mailing Address - Country:US
Mailing Address - Phone:717-614-9717
Mailing Address - Fax:
Practice Address - Street 1:4076 MARKET ST
Practice Address - Street 2:SUITE 206
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4200
Practice Address - Country:US
Practice Address - Phone:717-614-9717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0135431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty