=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023963931
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SACRED FOREST COUNSELING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/04/2026
-----------------------------------------------------
Last Update Date | 03/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 49 POPLAR ST
-----------------------------------------------------
City | BELLEVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17004-8607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-933-5191
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 49 POPLAR ST
-----------------------------------------------------
City | BELLEVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17004-8607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-933-5191
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KATELYNN BENDER-HUBBARD
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 582-322-1415
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------