1073056891 NPI number — KISSEL HILL COUNSELING ASSOCIATES, LLC

Table of content: DANIELA MARINAU FARKAS DPM (NPI 1659388775)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073056891 NPI number — KISSEL HILL COUNSELING ASSOCIATES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KISSEL HILL COUNSELING ASSOCIATES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073056891
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/19/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 HIGHLANDS DR
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
LITITZ
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17543-7693
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-682-2117
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 HIGHLANDS DR
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
LITITZ
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17543-7693
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-682-2117
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/28/2016

Additional Information

Authorized Official

Authorized Official Last Name:
BARROW
Authorized Official First Name:
SHITAL
Authorized Official Middle Name:
ANDREA
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
717-682-2117

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  PC008808 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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