Provider Demographics
NPI:1972240042
Name:SHIRK COUNSELING SERVICES
Entity Type:Organization
Organization Name:SHIRK COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOELLE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SHIRK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-479-2048
Mailing Address - Street 1:70 N PHEASANT WAY
Mailing Address - Street 2:
Mailing Address - City:ABBOTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17301-9539
Mailing Address - Country:US
Mailing Address - Phone:717-479-2048
Mailing Address - Fax:
Practice Address - Street 1:1000 CARLISLE ST STE 2225
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1156
Practice Address - Country:US
Practice Address - Phone:717-479-2048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health