Healthcare Provider Details

I. General information

NPI: 1457772006
Provider Name (Legal Business Name): ROTHSVILLE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2013
Last Update Date: 12/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 ROTHSVILLE RD
LITITZ PA
17543-8215
US

IV. Provider business mailing address

2320 ROTHSVILLE RD
LITITZ PA
17543-8215
US

V. Phone/Fax

Practice location:
  • Phone: 717-627-5133
  • Fax: 717-627-5144
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF000208
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. MARGARET DALE SHARPSTEEN
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential:
Phone: 717-627-5133