Provider Demographics
NPI:1710755574
Name:ARTGIRLJILL COUNSELING LLC
Entity Type:Organization
Organization Name:ARTGIRLJILL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:570-234-0431
Mailing Address - Street 1:1013 FOX HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-9757
Mailing Address - Country:US
Mailing Address - Phone:570-234-0431
Mailing Address - Fax:
Practice Address - Street 1:20 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:DELAWARE WATER GAP
Practice Address - State:PA
Practice Address - Zip Code:18327
Practice Address - Country:US
Practice Address - Phone:570-234-0431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty