Healthcare Provider Details

I. General information

NPI: 1689580219
Provider Name (Legal Business Name): SPARROW COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1681 CROWN AVE STE 103
LANCASTER PA
17601-6303
US

IV. Provider business mailing address

1681 CROWN AVE STE 103
LANCASTER PA
17601-6303
US

V. Phone/Fax

Practice location:
  • Phone: 717-220-3328
  • Fax:
Mailing address:
  • Phone: 717-220-3328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE WEGMAN
Title or Position: MENTAL HEALTH THERAPIST
Credential: LPC
Phone: 717-220-3328