MEDICARE: SACRED FOREST COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1023963931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SACRED FOREST COUNSELING, LLC

Provider Business Mailing Address
First Line	:	49 POPLAR ST
Second Line	:
City	:	BELLEVILLE
State	:	PA
Zip	:	17004-8607
Country	:	US
Telephone Number	:	814-933-5191
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 POPLAR ST
Second Line	:
City	:	BELLEVILLE
State	:	PA
Zip	:	17004-8607
Country	:	US
Telephone Number	:	814-933-5191
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATELYNN BENDER-HUBBARD
Credential	:	LPC
Telephone Number	:	582-322-1415

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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