Healthcare Provider Details

I. General information

NPI: 1003608308
Provider Name (Legal Business Name): PERINATAL AND HOLISTIC COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 BILTMORE AVE
LANCASTER PA
17601-5202
US

IV. Provider business mailing address

1296 LITITZ PIKE # 1095
LANCASTER PA
17601-4340
US

V. Phone/Fax

Practice location:
  • Phone: 717-208-4392
  • Fax:
Mailing address:
  • Phone: 717-208-4392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JAMIE RODA
Title or Position: THERAPIST
Credential: LPC
Phone: 717-208-4392