Healthcare Provider Details

I. General information

NPI: 1679270797
Provider Name (Legal Business Name): WENDY QUINTON LCSW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2023
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1083 BLOOM RD STE 104
DANVILLE PA
17821-6789
US

IV. Provider business mailing address

33 FRUIT FARM RD
ELYSBURG PA
17824-8902
US

V. Phone/Fax

Practice location:
  • Phone: 570-524-0909
  • Fax:
Mailing address:
  • Phone: 570-809-3393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: WENDY QUINTON
Title or Position: OWNER
Credential: LCSW
Phone: 570-524-0909