Healthcare Provider Details

I. General information

NPI: 1356985147
Provider Name (Legal Business Name): MATTERS OF THE HEART COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2019
Last Update Date: 11/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1987 STATE ST
EAST PETERSBURG PA
17520-1324
US

IV. Provider business mailing address

1987 STATE ST
EAST PETERSBURG PA
17520-1324
US

V. Phone/Fax

Practice location:
  • Phone: 717-333-0436
  • Fax: 717-459-7558
Mailing address:
  • Phone: 717-333-0436
  • Fax: 717-459-7558

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: KAREN MUMMAU
Title or Position: OWNER/ THERAPIST
Credential: LCSW
Phone: 717-333-0436