Organization Name: | LANTERN COUNSELING, LLC |
NPI Number: | 1154624252 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JILL H MILLER (LICENSED PROFESSIONAL COUNSELOR) |
Mailing Address: | 4215 W Lincoln Hwy Parkesburg |
State: | PA US |
Postal Code: | 193651780 |
Phone Number: | 6105634112 |
Fax Number: | |
NPI Enumeration Date: | 12/10/2010 |
NPI Last Update Date: | 12/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC005618 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |