Healthcare Provider Details

I. General information

NPI: 1245047570
Provider Name (Legal Business Name): PARAMOUNT COUNSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2024
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 S VALLEY RD STE 210
PAOLI PA
19301-1473
US

IV. Provider business mailing address

710 JONATHAN DR
KING OF PRUSSIA PA
19406-1730
US

V. Phone/Fax

Practice location:
  • Phone: 484-868-1706
  • Fax:
Mailing address:
  • Phone: 484-868-1706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: JUSTYNA WESTBROOK
Title or Position: OWNER
Credential: LPC
Phone: 484-868-1706