Healthcare Provider Details

I. General information

NPI: 1205615085
Provider Name (Legal Business Name): REBEKAH VANZANDT MS, NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2023
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 ROOSEVELT AVE
YORK PA
17401-3378
US

IV. Provider business mailing address

410 N PRINCE ST
LANCASTER PA
17603-3010
US

V. Phone/Fax

Practice location:
  • Phone: 717-845-2425
  • Fax: 717-845-2682
Mailing address:
  • Phone: 717-560-7917
  • Fax: 717-560-6452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC016124
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: