Provider Demographics
NPI:1790407252
Name:SPROUTING MINDS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:SPROUTING MINDS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WITTE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-743-1484
Mailing Address - Street 1:17 PARKER SPRING AVE
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-2537
Mailing Address - Country:US
Mailing Address - Phone:717-743-1484
Mailing Address - Fax:717-674-7508
Practice Address - Street 1:20 BEECH ST STE A
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3190
Practice Address - Country:US
Practice Address - Phone:717-743-1484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty