Provider Demographics
NPI:1770906471
Name:ROTHSVILLE COUNSELING
Entity type:Organization
Organization Name:ROTHSVILLE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:SWANN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-314-2040
Mailing Address - Street 1:2320 ROTHSVILLE RD
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-8215
Mailing Address - Country:US
Mailing Address - Phone:717-627-5133
Mailing Address - Fax:
Practice Address - Street 1:2320 ROTHSVILLE RD
Practice Address - Street 2:SUITE 103A
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-8215
Practice Address - Country:US
Practice Address - Phone:717-627-5133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003536101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty