Provider Demographics
NPI:1508647314
Name:CATHERINE FITZGIBBONS COUNSELING, LLC
Entity Type:Organization
Organization Name:CATHERINE FITZGIBBONS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZGIBBONS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-507-1240
Mailing Address - Street 1:135 ASHFORD DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-7978
Mailing Address - Country:US
Mailing Address - Phone:717-507-1240
Mailing Address - Fax:
Practice Address - Street 1:561 OLD W CHOCOLATE AVE
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1676
Practice Address - Country:US
Practice Address - Phone:717-450-7418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty