Provider Demographics
NPI:1740757442
Name:AMY TITZER PROFESSIONAL COUNSELING, LLC
Entity type:Organization
Organization Name:AMY TITZER PROFESSIONAL COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:GIBBONS
Authorized Official - Last Name:TITZER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-742-2003
Mailing Address - Street 1:43 KAREN CT
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9243
Mailing Address - Country:US
Mailing Address - Phone:717-742-2003
Mailing Address - Fax:
Practice Address - Street 1:1987 STATE ST STE 206
Practice Address - Street 2:
Practice Address - City:EAST PETERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17520-1324
Practice Address - Country:US
Practice Address - Phone:717-742-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty