Provider Demographics
NPI:1639951718
Name:SANCTUARY CHRISTIAN COUNSELING LLC
Entity Type:Organization
Organization Name:SANCTUARY CHRISTIAN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:JW
Authorized Official - Last Name:GIGLIOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:717-377-0869
Mailing Address - Street 1:401 BRADLEY LN
Mailing Address - Street 2:
Mailing Address - City:SHIPPENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17257-8406
Mailing Address - Country:US
Mailing Address - Phone:717-377-0869
Mailing Address - Fax:
Practice Address - Street 1:9974 MOLLY PITCHER HWY STE 4
Practice Address - Street 2:
Practice Address - City:SHIPPENSBURG
Practice Address - State:PA
Practice Address - Zip Code:17257-8503
Practice Address - Country:US
Practice Address - Phone:717-377-0869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty