Provider Demographics
NPI:1235552720
Name:SAND CATLE COUNSELING
Entity Type:Organization
Organization Name:SAND CATLE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BATES-SIER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:717-525-0558
Mailing Address - Street 1:527 W CHOCOLATE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-1663
Mailing Address - Country:US
Mailing Address - Phone:717-525-0558
Mailing Address - Fax:717-533-2169
Practice Address - Street 1:527 W CHOCOLATE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1663
Practice Address - Country:US
Practice Address - Phone:717-525-0558
Practice Address - Fax:717-533-2169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW009345101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty