Provider Demographics
NPI:1477258762
Name:KELLI SCHULTHESS LPC COUNSELING LLC
Entity Type:Organization
Organization Name:KELLI SCHULTHESS LPC COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTHESS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC
Authorized Official - Phone:610-763-2318
Mailing Address - Street 1:301 WEGMAN RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-9719
Mailing Address - Country:US
Mailing Address - Phone:610-763-2318
Mailing Address - Fax:
Practice Address - Street 1:2851 CENTRE AVE STE F
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-2566
Practice Address - Country:US
Practice Address - Phone:610-763-2318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health