Provider Demographics
NPI:1225776149
Name:MAKING A DIFFERENCE COUNSELING CENTER
Entity Type:Organization
Organization Name:MAKING A DIFFERENCE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DELANCEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:717-436-5353
Mailing Address - Street 1:4265 WILLIAM PENN HWY STE 1
Mailing Address - Street 2:
Mailing Address - City:MIFFLINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17059-7338
Mailing Address - Country:US
Mailing Address - Phone:717-436-5353
Mailing Address - Fax:717-921-4171
Practice Address - Street 1:4265 WILLIAM PENN HWY # 1
Practice Address - Street 2:
Practice Address - City:MIFFLINTOWN
Practice Address - State:PA
Practice Address - Zip Code:17059-7338
Practice Address - Country:US
Practice Address - Phone:717-363-1001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-20
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty