Healthcare Provider Details

I. General information

NPI: 1316850092
Provider Name (Legal Business Name): MARRIAGE RESOURCE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 W GROVE ST LOWR LEVEL
CLARKS SUMMIT PA
18411-2023
US

IV. Provider business mailing address

219 W GROVE ST LOWR LEVEL
CLARKS SUMMIT PA
18411-2023
US

V. Phone/Fax

Practice location:
  • Phone: 570-909-9324
  • Fax:
Mailing address:
  • Phone: 570-909-9324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: JILL BURKE
Title or Position: OWNER
Credential: LMFT
Phone: 570-909-9324