Provider Demographics
NPI:1962378661
Name:MENTCH, KATARZYNA LUIZA (MA, LAPC, NCC)
Entity type:Individual
Prefix:
First Name:KATARZYNA
Middle Name:LUIZA
Last Name:MENTCH
Suffix:
Gender:F
Credentials:MA, LAPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1163 E 38TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16504-1869
Mailing Address - Country:US
Mailing Address - Phone:814-812-9738
Mailing Address - Fax:814-790-5999
Practice Address - Street 1:1163 E 38TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504-1869
Practice Address - Country:US
Practice Address - Phone:814-812-9738
Practice Address - Fax:814-790-5999
Is Sole Proprietor?:No
Enumeration Date:2025-10-11
Last Update Date:2025-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC001794101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional