Healthcare Provider Details

I. General information

NPI: 1295606291
Provider Name (Legal Business Name): ANNEMARIE K LANGE LPC PMH-C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

967 E SWEDESFORD RD
EXTON PA
19341-2332
US

IV. Provider business mailing address

782 W PHILIP DR
PHOENIXVILLE PA
19460-2546
US

V. Phone/Fax

Practice location:
  • Phone: 484-678-7565
  • Fax:
Mailing address:
  • Phone: 484-678-7565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ANNEMARIE K LANGE
Title or Position: OWNER
Credential: LPC, PMH-C
Phone: 484-678-7565