Healthcare Provider Details

I. General information

NPI: 1942061809
Provider Name (Legal Business Name): AMBER NICOLE BUTZER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER NICOLE MASCOLA LPC

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 EDEN RD
LANCASTER PA
17601-4713
US

IV. Provider business mailing address

825 EDEN RD
LANCASTER PA
17601-4713
US

V. Phone/Fax

Practice location:
  • Phone: 717-519-7100
  • Fax:
Mailing address:
  • Phone: 717-519-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC016683
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: