Healthcare Provider Details

I. General information

NPI: 1942845870
Provider Name (Legal Business Name): CAROLYN MOTTOR-RIVERA COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2019
Last Update Date: 11/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 W LIBERTY ST STE 111
LANCASTER PA
17603-2766
US

IV. Provider business mailing address

313 W LIBERTY ST STE 111
LANCASTER PA
17603-2766
US

V. Phone/Fax

Practice location:
  • Phone: 717-690-2770
  • Fax: 717-860-4731
Mailing address:
  • Phone: 717-690-2770
  • Fax: 717-869-4731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CAROLYN ARDIS MOTTOR-RIVERA
Title or Position: OWNER/COUNSELOR
Credential: LPC,CAADC
Phone: 717-690-2770