Healthcare Provider Details

I. General information

NPI: 1639560402
Provider Name (Legal Business Name): PRACTICING PERSPECTIVES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2015
Last Update Date: 02/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1259 ROUTE 113 SUITE 208
PERKASIE PA
18944-3537
US

IV. Provider business mailing address

145 N 7TH ST
PERKASIE PA
18944-1412
US

V. Phone/Fax

Practice location:
  • Phone: 267-374-4434
  • Fax:
Mailing address:
  • Phone: 267-374-4434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC007506
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW016464
License Number StatePA

VIII. Authorized Official

Name: RACHEL BAKER
Title or Position: CO-OWNER
Credential:
Phone: 267-374-4434