Healthcare Provider Details

I. General information

NPI: 1538949110
Provider Name (Legal Business Name): IRONWOOD COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2023
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1534 W BROAD ST STE 600
QUAKERTOWN PA
18951-1050
US

IV. Provider business mailing address

701 W MACADA RD
BETHLEHEM PA
18017-2420
US

V. Phone/Fax

Practice location:
  • Phone: 610-730-4755
  • Fax:
Mailing address:
  • Phone: 610-730-4755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: DR. JENNIFER CRALL
Title or Position: LICENSED PSYCHOLOGIST
Credential: PHD
Phone: 610-730-4755