Healthcare Provider Details
I. General information
NPI: 1124518493
Provider Name (Legal Business Name): ERIN K KOWEY LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/13/2018
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
807 LAWN AVE
SELLERSVILLE PA
18960-1549
US
IV. Provider business mailing address
161 LEVERINGTON AVE
PHILADELPHIA PA
19127-2030
US
V. Phone/Fax
- Phone: 215-257-6551
- Fax: 215-257-6570
- Phone: 267-664-7054
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | PC016171 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: