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NPI Code Detail

MEDICARE: CHARITY EVERETT LPC

MEDICARE: CHARITY EVERETT LPC
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
1101YM0800XMental Health CounselorPC013662PA

General Provider Information

NPI Number : 1477113496
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARITY EVERETT LPC
Provider Business Mailing Address
First Line : 2603 LITITZ PIKE
Second Line :
City : LANCASTER
State : PA
Zip : 17601-3723
Country : US
Telephone Number : 717-315-4371
Fax Number :
Provider Business Practice Location Address
First Line : 2603 LITITZ PIKE
Second Line :
City : LANCASTER
State : PA
Zip : 17601-3723
Country : US
Telephone Number : 717-315-4371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2019
Last Update Date : 01/05/2026

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Directions to “ CHARITY EVERETT LPC” Practice Location

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