Healthcare Provider Details

I. General information

NPI: 1023955440
Provider Name (Legal Business Name): LLEN COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 S NEW ST STE 110
BETHLEHEM PA
18015-1110
US

IV. Provider business mailing address

PO BOX 3016
EASTON PA
18043-3016
US

V. Phone/Fax

Practice location:
  • Phone: 484-544-3051
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: WAJEEHA LANZARA
Title or Position: LICENSED MENTAL HEALTH PROFESSIONAL
Credential: LPC
Phone: 484-544-3051