Provider Demographics
NPI:1265636492
Name:RAINEY, NANCY B (MS, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:B
Last Name:RAINEY
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 W JAMES ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2911
Mailing Address - Country:US
Mailing Address - Phone:717-283-8501
Mailing Address - Fax:717-509-4005
Practice Address - Street 1:351 W JAMES ST
Practice Address - Street 2:SUITE 202
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2911
Practice Address - Country:US
Practice Address - Phone:717-283-8501
Practice Address - Fax:717-509-4005
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004577101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional