Healthcare Provider Details

I. General information

NPI: 1225932106
Provider Name (Legal Business Name): WIESZCOUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1808 N 19TH ST
ALLENTOWN PA
18104-1510
US

IV. Provider business mailing address

1504 N 22ND ST
ALLENTOWN PA
18104-2510
US

V. Phone/Fax

Practice location:
  • Phone: 484-353-6193
  • Fax:
Mailing address:
  • Phone: 484-353-6193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. PHILIP WIESZCZYK
Title or Position: THERAPIST, OWNER
Credential: LPC
Phone: 484-353-6193