Healthcare Provider Details

I. General information

NPI: 1013060417
Provider Name (Legal Business Name): LIFE'S JOURNEY COUNSELING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 S PIKE RD
SARVER PA
16055-9202
US

IV. Provider business mailing address

617 S PIKE RD
SARVER PA
16055-9202
US

V. Phone/Fax

Practice location:
  • Phone: 724-766-9238
  • Fax: 724-295-9944
Mailing address:
  • Phone: 724-766-9238
  • Fax: 724-295-9944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF000048
License Number StatePA

VIII. Authorized Official

Name: MS. KAREN R. PETROSKI
Title or Position: PRESIDENT
Credential: M.A., LMFT
Phone: 724-766-9238