Healthcare Provider Details

I. General information

NPI: 1962396309
Provider Name (Legal Business Name): EMILY TRENT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 06/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

479 THOMAS JONES WAY STE 850
EXTON PA
19341-2564
US

IV. Provider business mailing address

351 CREAMERY WAY UNIT 1301
EXTON PA
19341-2555
US

V. Phone/Fax

Practice location:
  • Phone: 484-879-6751
  • Fax:
Mailing address:
  • Phone: 717-688-3299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC18708
License Number StatePA

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: