Provider Demographics
NPI:1841810397
Name:SACRED HEARTS COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:SACRED HEARTS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHACORA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-425-9532
Mailing Address - Street 1:1223 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17102-2711
Mailing Address - Country:US
Mailing Address - Phone:717-425-9532
Mailing Address - Fax:
Practice Address - Street 1:18 CAMPUS BLVD
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-3245
Practice Address - Country:US
Practice Address - Phone:717-425-9532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty