Healthcare Provider Details

I. General information

NPI: 1104603372
Provider Name (Legal Business Name): ACT COUNSELING AND SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 GETTYSBURG RD STE 3
CAMP HILL PA
17011-7253
US

IV. Provider business mailing address

2929 GETTYSBURG RD STE 3
CAMP HILL PA
17011-7253
US

V. Phone/Fax

Practice location:
  • Phone: 717-975-7386
  • Fax:
Mailing address:
  • Phone: 717-975-7386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY MARIE DAMPIER
Title or Position: OWNER
Credential: LPC
Phone: 717-975-7386