MEDICARE: MOUNTAIN VIEW COUNSELING LLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1558903039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAIN VIEW COUNSELING LLC

Provider Business Mailing Address
First Line	:	3544 N PROGRESS AVE STE 102
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17110-9638
Country	:	US
Telephone Number	:	717-343-7798
Fax Number	:

Provider Business Practice Location Address
First Line	:	3544 N PROGRESS AVE STE 102
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17110-9638
Country	:	US
Telephone Number	:	717-343-7798
Fax Number	:

Authorized Official
Title or Position	:	OWNER/COUNSELOR
Name	:	ALYSON FOGLE
Credential	:	MS LPC
Telephone Number	:	717-343-7798

Provider Enumeration Date	:	10/16/2019
Last Update Date	:	10/16/2019

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Directions to “MOUNTAIN VIEW COUNSELING LLC ” Practice Location

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