Healthcare Provider Details

I. General information

NPI: 1699637587
Provider Name (Legal Business Name): OPEN NEST THERAPY & ASSESSMENT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 S ALLEN ST STE 320
STATE COLLEGE PA
16801-4851
US

IV. Provider business mailing address

315 S ALLEN ST STE 320
STATE COLLEGE PA
16801-4851
US

V. Phone/Fax

Practice location:
  • Phone: 814-826-3112
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTY SHARER
Title or Position: LPC
Credential: MS, PHD
Phone: 814-826-3112