Provider Demographics
NPI:1831595750
Name:RITA PORRECA, LMFT AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:RITA PORRECA, LMFT AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:PORRECA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:610-687-3928
Mailing Address - Street 1:983 OLD EAGLE SCHOOL RD
Mailing Address - Street 2:SUITE 611
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1711
Mailing Address - Country:US
Mailing Address - Phone:610-687-3928
Mailing Address - Fax:610-687-8067
Practice Address - Street 1:983 OLD EAGLE SCHOOL RD
Practice Address - Street 2:SUITE 611
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-1711
Practice Address - Country:US
Practice Address - Phone:610-687-3928
Practice Address - Fax:610-687-8067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000481106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty