Provider Demographics
NPI:1679219646
Name:LAUREL MOUNTAIN COUNSELING LLC
Entity Type:Organization
Organization Name:LAUREL MOUNTAIN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CAADC
Authorized Official - Phone:267-978-1603
Mailing Address - Street 1:390 SUMMER HILL RD
Mailing Address - Street 2:
Mailing Address - City:SCHUYLKILL HAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:17972-9078
Mailing Address - Country:US
Mailing Address - Phone:267-978-1603
Mailing Address - Fax:
Practice Address - Street 1:390 SUMMER HILL RD
Practice Address - Street 2:
Practice Address - City:SCHUYLKILL HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17972-9078
Practice Address - Country:US
Practice Address - Phone:267-978-1603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty