Provider Demographics
NPI:1689022055
Name:SERVING PEOPLE LOVINGLY COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:SERVING PEOPLE LOVINGLY COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SVIATLANA
Authorized Official - Middle Name:PETROVNA
Authorized Official - Last Name:LOCANTO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LSW
Authorized Official - Phone:817-668-5497
Mailing Address - Street 1:546 E 34TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16504-1645
Mailing Address - Country:US
Mailing Address - Phone:817-668-5497
Mailing Address - Fax:
Practice Address - Street 1:1001 STATE ST STE 1400
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-1834
Practice Address - Country:US
Practice Address - Phone:817-668-5497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA130453251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health