Provider Demographics
NPI:1801606918
Name:WHITE WOODS COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:WHITE WOODS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOK
Authorized Official - Suffix:
Authorized Official - Credentials:LAPC
Authorized Official - Phone:717-269-4364
Mailing Address - Street 1:1503 E QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:ANNVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17003-2018
Mailing Address - Country:US
Mailing Address - Phone:717-269-4364
Mailing Address - Fax:717-269-4364
Practice Address - Street 1:44 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ANNVILLE
Practice Address - State:PA
Practice Address - Zip Code:17003-1411
Practice Address - Country:US
Practice Address - Phone:717-269-4364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty