=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720889751
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VICTORIA SAYENKO LPC, M.A., CAADC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/24/2025
-----------------------------------------------------
Last Update Date | 10/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 738 PARKLANE RD
-----------------------------------------------------
City | SWARTHMORE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19081-2922
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-442-0073
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 489 MAPLE ST
-----------------------------------------------------
City | WARMINSTER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18974-4609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-520-9992
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | PC019461
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------