Healthcare Provider Details

I. General information

NPI: 1124952858
Provider Name (Legal Business Name): STONE & STAR PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 HIDDEN VALLEY DR
TAFTON PA
18464-9617
US

IV. Provider business mailing address

118 HIDDEN VALLEY DR
TAFTON PA
18464-9617
US

V. Phone/Fax

Practice location:
  • Phone: 908-619-7464
  • Fax: 908-619-7464
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBORAH ANN GALLIGAN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 908-619-7464