Provider Demographics
NPI:1033683321
Name:WINTERS, SASHA
Entity type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:WINTERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SASHA
Other - Middle Name:
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2101 GREENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-2737
Mailing Address - Country:US
Mailing Address - Phone:223-800-9614
Mailing Address - Fax:
Practice Address - Street 1:2001 N FRONT ST STE 217
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102-2189
Practice Address - Country:US
Practice Address - Phone:717-559-2468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-19
Last Update Date:2024-02-19
Deactivation Date:2019-01-29
Deactivation Code:
Reactivation Date:2020-11-12
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PAPC016657101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health