Provider Demographics
NPI:1851665715
Name:CHAPLICK, LORI KONITSKY (MA)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:KONITSKY
Last Name:CHAPLICK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 MOORENOLL ST
Mailing Address - Street 2:
Mailing Address - City:SCHUYLKILL HAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:17972-2019
Mailing Address - Country:US
Mailing Address - Phone:570-385-1304
Mailing Address - Fax:
Practice Address - Street 1:5 S CENTRE AVE
Practice Address - Street 2:SUITE A5
Practice Address - City:LEESPORT
Practice Address - State:PA
Practice Address - Zip Code:19533-8653
Practice Address - Country:US
Practice Address - Phone:215-939-8429
Practice Address - Fax:610-926-9179
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-23
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)