Healthcare Provider Details

I. General information

NPI: 1538097472
Provider Name (Legal Business Name): PEARL & PETAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 GREISS ST
ALBURTIS PA
18011-2326
US

IV. Provider business mailing address

69 GREISS ST
ALBURTIS PA
18011-2326
US

V. Phone/Fax

Practice location:
  • Phone: 484-663-3298
  • Fax: 484-663-3298
Mailing address:
  • Phone: 484-663-3298
  • Fax: 484-663-3298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY MCANDREW
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LPC
Phone: 484-663-3298