Healthcare Provider Details

I. General information

NPI: 1588213037
Provider Name (Legal Business Name): THERAPY AND COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2019
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 S SAINT JOHNS DR
CAMP HILL PA
17011-4147
US

IV. Provider business mailing address

115 S SAINT JOHNS DR
CAMP HILL PA
17011-4147
US

V. Phone/Fax

Practice location:
  • Phone: 717-761-4754
  • Fax:
Mailing address:
  • Phone: 717-761-4754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREA GIBSON
Title or Position: CLINICAL DIRECTOR
Credential: MS, OTR/L
Phone: 717-761-4754