Provider Demographics
NPI:1891271714
Name:LIFE IN PROGRESS COUNSELING, LLC
Entity Type:Organization
Organization Name:LIFE IN PROGRESS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WIELAND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:484-876-1842
Mailing Address - Street 1:47 MARCHWOOD RD STE 1-J1
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1835
Mailing Address - Country:US
Mailing Address - Phone:484-876-1842
Mailing Address - Fax:
Practice Address - Street 1:47 MARCHWOOD RD STE 1-J1
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341
Practice Address - Country:US
Practice Address - Phone:484-876-1842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010020101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty