Healthcare Provider Details

I. General information

NPI: 1316872906
Provider Name (Legal Business Name): SEASONS OF THE SOUL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 VALLEY RD
EIGHTY FOUR PA
15330-2662
US

IV. Provider business mailing address

126 VALLEY RD
EIGHTY FOUR PA
15330-2662
US

V. Phone/Fax

Practice location:
  • Phone: 724-271-8989
  • Fax:
Mailing address:
  • Phone: 724-271-8989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KRISTA ELLEN POWELL
Title or Position: OWNER
Credential: MS, NCC, LPC
Phone: 724-271-8989