Healthcare Provider Details

I. General information

NPI: 1851217590
Provider Name (Legal Business Name): MGC COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 CATALPA DR
MALVERN PA
19355-2303
US

IV. Provider business mailing address

1051 CATALPA DR
MALVERN PA
19355-2303
US

V. Phone/Fax

Practice location:
  • Phone: 302-562-2107
  • Fax:
Mailing address:
  • Phone: 302-562-2107
  • Fax:

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: MELANIE GONSECKI COUPLAND
Title or Position: THERAPIST/OWNER
Credential: LCSW
Phone: 302-562-2107