Healthcare Provider Details

I. General information

NPI: 1396679643
Provider Name (Legal Business Name): SUN SANCTUM COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

296 W RIDGE PIKE STE 202
LIMERICK PA
19468-1790
US

IV. Provider business mailing address

296 W RIDGE PIKE STE 202
LIMERICK PA
19468-1790
US

V. Phone/Fax

Practice location:
  • Phone: 484-369-7705
  • Fax: 484-544-7783
Mailing address:
  • Phone: 484-369-7705
  • Fax: 484-544-7783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DANA ANTOINETTE GOLD
Title or Position: OWNER
Credential: LPC
Phone: 484-680-3271