Provider Demographics
NPI:1891161659
Name:L. L. MULHOLLEM COUNSELING AND PSYCHOTHERAPY
Entity Type:Organization
Organization Name:L. L. MULHOLLEM COUNSELING AND PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:MULHOLLEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-489-2901
Mailing Address - Street 1:2941 HARVEST RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-9676
Mailing Address - Country:US
Mailing Address - Phone:717-489-2901
Mailing Address - Fax:
Practice Address - Street 1:535 FARMVIEW LN
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-2932
Practice Address - Country:US
Practice Address - Phone:717-489-2901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health