Healthcare Provider Details

I. General information

NPI: 1467649178
Provider Name (Legal Business Name): LAURA C MICHAELS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 COMMERCE DR STE 225
FORT WASHINGTON PA
19034-2600
US

IV. Provider business mailing address

390 COMMERCE DR STE 225
FORT WASHINGTON PA
19034-2600
US

V. Phone/Fax

Practice location:
  • Phone: 215-330-4876
  • Fax: 218-965-3304
Mailing address:
  • Phone: 215-330-4876
  • Fax: 215-330-4896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC007520
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC007520
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC007520
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: