Healthcare Provider Details

I. General information

NPI: 1316857709
Provider Name (Legal Business Name): ALICANTO COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 WABANK ST
LANCASTER PA
17603-5741
US

IV. Provider business mailing address

818 WABANK ST
LANCASTER PA
17603-5741
US

V. Phone/Fax

Practice location:
  • Phone: 717-725-3914
  • Fax: 717-256-7840
Mailing address:
  • Phone: 717-725-3914
  • Fax: 717-256-7840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TARA MARIE WIKER
Title or Position: OWNER/ LCSW
Credential: LCSW
Phone: 717-725-3914