Healthcare Provider Details

I. General information

NPI: 1952473837
Provider Name (Legal Business Name): H.S.A. COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 12/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 NORTH MARKET STREET
LANCASTER PA
17603-3816
US

IV. Provider business mailing address

PO BOX M
MIFFLIN PA
17058-0913
US

V. Phone/Fax

Practice location:
  • Phone: 717-394-5334
  • Fax: 717-394-8747
Mailing address:
  • Phone: 717-394-5334
  • Fax: 717-436-9818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number367021
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number367021
License Number StatePA

VIII. Authorized Official

Name: MR. MICHAEL SHAWN BRYAN SR.
Title or Position: CEO
Credential: B.A.
Phone: 717-394-5334