Provider Demographics
NPI:1487263471
Name:LICENSED PROFESSIONAL COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:LICENSED PROFESSIONAL COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GUNERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, EDS, MA, MS
Authorized Official - Phone:215-208-2063
Mailing Address - Street 1:301 OXFORD VALLEY RD STE 504A
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7711
Mailing Address - Country:US
Mailing Address - Phone:215-493-0132
Mailing Address - Fax:215-493-0111
Practice Address - Street 1:301 OXFORD VALLEY RD STE 504A
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7711
Practice Address - Country:US
Practice Address - Phone:215-493-0132
Practice Address - Fax:215-493-0111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty