=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225932106
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WIESZCOUNSELING, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/05/2026
-----------------------------------------------------
Last Update Date | 10/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1808 N 19TH ST
-----------------------------------------------------
City | ALLENTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18104-1510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-353-6193
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1504 N 22ND ST
-----------------------------------------------------
City | ALLENTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18104-2510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-353-6193
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | THERAPIST, OWNER
-----------------------------------------------------
Name | MR. PHILIP WIESZCZYK
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 484-353-6193
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------