Provider Demographics
NPI:1821874413
Name:MENTAL HEALTH AND SPORT PERFORMANCE COUNSELING OF THE LEHIGH VALLEY
Entity Type:Organization
Organization Name:MENTAL HEALTH AND SPORT PERFORMANCE COUNSELING OF THE LEHIGH VALLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FALZONE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:484-373-9234
Mailing Address - Street 1:25 E CENTER ST STE 2
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-2254
Mailing Address - Country:US
Mailing Address - Phone:484-373-9234
Mailing Address - Fax:
Practice Address - Street 1:25 E CENTER ST STE 2
Practice Address - Street 2:
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-2254
Practice Address - Country:US
Practice Address - Phone:484-373-9234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty