Organization Name: | NEW WILMINGTON PSYCHOTHERAPY & COUNSELING |
NPI Number: | 1770963795 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAWRENCE E CROSS (OWNER) |
Mailing Address: | 211 W Neshannock Ave New Wilmington |
State: | PA US |
Postal Code: | 161421114 |
Phone Number: | 7249010901 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2015 |
NPI Last Update Date: | 06/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW014466 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |