Healthcare Provider Details

I. General information

NPI: 1144146804
Provider Name (Legal Business Name): PATRICIA EMPERATRIZ MAILA LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 EISENHOWER AVE STE A203
TROOPER PA
19403-2331
US

IV. Provider business mailing address

2550 EISENHOWER AVE STE A203
TROOPER PA
19403-2331
US

V. Phone/Fax

Practice location:
  • Phone: 610-632-7745
  • Fax:
Mailing address:
  • Phone: 610-632-7745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW143799
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: