Healthcare Provider Details

I. General information

NPI: 1508335944
Provider Name (Legal Business Name): HUMBLE HEART COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2018
Last Update Date: 11/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 CATHE LN
WARMINSTER PA
18974-1909
US

IV. Provider business mailing address

926 CATHE LN
WARMINSTER PA
18974-1909
US

V. Phone/Fax

Practice location:
  • Phone: 267-251-2493
  • Fax:
Mailing address:
  • Phone: 267-251-2493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA PENGE
Title or Position: OWNER
Credential: LPC
Phone: 267-251-2493