MEDICARE: PERINATAL AND HOLISTIC COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1003608308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERINATAL AND HOLISTIC COUNSELING

Provider Business Mailing Address
First Line	:	1296 LITITZ PIKE # 1095
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-4340
Country	:	US
Telephone Number	:	717-208-4392
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 BILTMORE AVE
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-5202
Country	:	US
Telephone Number	:	717-208-4392
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	MS. JAMIE RODA
Credential	:	LPC
Telephone Number	:	717-208-4392

Provider Enumeration Date	:	05/21/2025
Last Update Date	:	05/21/2025

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