Provider Demographics
NPI:1730654302
Name:ACTIVATING AND REJUVENATING COUNSELING SERVICES
Entity Type:Organization
Organization Name:ACTIVATING AND REJUVENATING COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLDIP
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:484-442-0205
Mailing Address - Street 1:PO BOX 351
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17315-0351
Mailing Address - Country:US
Mailing Address - Phone:484-442-0205
Mailing Address - Fax:
Practice Address - Street 1:1527 WINSFORD LN
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-9080
Practice Address - Country:US
Practice Address - Phone:484-442-0205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty