Provider Demographics
NPI:1497719066
Name:WOODLING CORPORATION
Entity Type:Organization
Organization Name:WOODLING CORPORATION
Other - Org Name:BETHLEHEM COUNSELING ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOODLING
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:610-865-8177
Mailing Address - Street 1:2005 CITY LINE RD.
Mailing Address - Street 2:SUITE #300
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7475
Mailing Address - Country:US
Mailing Address - Phone:610-865-8177
Mailing Address - Fax:610-865-2764
Practice Address - Street 1:2005 CITY LINE RD.
Practice Address - Street 2:SUITE #300
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7475
Practice Address - Country:US
Practice Address - Phone:610-865-8177
Practice Address - Fax:610-865-2764
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOODLING CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-12
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA534764Medicare ID - Type UnspecifiedGROUP ID