Provider Demographics
NPI:1508259573
Name:DENISE J CANDIDI LPC LLC
Entity Type:Organization
Organization Name:DENISE J CANDIDI LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:CANDIDI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:484-849-1482
Mailing Address - Street 1:2605 EGYPT RD STE 201
Mailing Address - Street 2:
Mailing Address - City:TROOPER
Mailing Address - State:PA
Mailing Address - Zip Code:19403-2317
Mailing Address - Country:US
Mailing Address - Phone:484-849-1492
Mailing Address - Fax:610-279-2375
Practice Address - Street 1:2605 EGYPT RD STE 201
Practice Address - Street 2:
Practice Address - City:TROOPER
Practice Address - State:PA
Practice Address - Zip Code:19403-2317
Practice Address - Country:US
Practice Address - Phone:484-849-1492
Practice Address - Fax:610-279-2375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-14
Last Update Date:2015-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006237101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty