Healthcare Provider Details

I. General information

NPI: 1396676268
Provider Name (Legal Business Name): EVELYN ELIZABETH HOSEY MS, LAPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 WYOMING AVE
KINGSTON PA
18704-3502
US

IV. Provider business mailing address

389 DIMMICK HILL RD
NOXEN PA
18636-7715
US

V. Phone/Fax

Practice location:
  • Phone: 570-606-1888
  • Fax:
Mailing address:
  • Phone: 570-240-5271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC002304
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: