Healthcare Provider Details

I. General information

NPI: 1124824008
Provider Name (Legal Business Name): PEAKS AND VALLEYS COUNSELING & THERAPY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

C27 DREAM DR
WIND GAP PA
18091-7747
US

IV. Provider business mailing address

2430 BUTLER ST UNIT 481
EASTON PA
18042-5303
US

V. Phone/Fax

Practice location:
  • Phone: 267-347-0041
  • Fax:
Mailing address:
  • Phone: 267-347-0041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SARAH PANDOLFO
Title or Position: OWNER/CEO
Credential: LCSW
Phone: 267-347-0041