Healthcare Provider Details
I. General information
NPI: 1144749169
Provider Name (Legal Business Name): LAURA GUZY
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/11/2017
Last Update Date: 10/05/2025
Certification Date: 10/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
519 MAIN ST
ROYERSFORD PA
19468-2307
US
IV. Provider business mailing address
519 MAIN ST
ROYERSFORD PA
19468-2307
US
V. Phone/Fax
- Phone: 908-827-2160
- Fax:
- Phone: 908-827-2160
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: