Provider Demographics
NPI:1932776648
Name:LONE OAK ANIMAL-ASSISTED THERAPEUTIC AND EDUCATIONAL SERVICES
Entity Type:Organization
Organization Name:LONE OAK ANIMAL-ASSISTED THERAPEUTIC AND EDUCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIMAK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:717-799-0193
Mailing Address - Street 1:315 E NEW ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2007
Mailing Address - Country:US
Mailing Address - Phone:717-917-6110
Mailing Address - Fax:
Practice Address - Street 1:1142 UNION SCHOOL RD
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-9644
Practice Address - Country:US
Practice Address - Phone:717-917-6110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty