Healthcare Provider Details

I. General information

NPI: 1467839613
Provider Name (Legal Business Name): LOUISA BROOKS EYLER MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2015
Last Update Date: 03/28/2022
Certification Date: 03/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 N 2ND ST
HARRISBURG PA
17101-1003
US

IV. Provider business mailing address

511 N 2ND ST
HARRISBURG PA
17101-1003
US

V. Phone/Fax

Practice location:
  • Phone: 717-350-6717
  • Fax:
Mailing address:
  • Phone: 717-350-6717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW123871
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: