Provider Demographics
NPI:1538293196
Name:ALLIANCE COUNSELING AND WELLNESS COACHING, LLC
Entity Type:Organization
Organization Name:ALLIANCE COUNSELING AND WELLNESS COACHING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DALTON
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:RUMFIELD
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS
Authorized Official - Phone:610-366-9333
Mailing Address - Street 1:1005 BROOKSIDE RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9023
Mailing Address - Country:US
Mailing Address - Phone:610-366-9333
Mailing Address - Fax:
Practice Address - Street 1:1005 BROOKSIDE RD
Practice Address - Street 2:SUITE 330
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9023
Practice Address - Country:US
Practice Address - Phone:610-366-9333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000221101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty