Danielle Brodhecker, LPC

Individual provider Active NPI Professional Counselor · Mount Joy, PA

NPI 1346862885 · NPPES record last updated May 7, 2020

Key facts

NPI
1346862885
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
PC012358 (PA)
Practice address
410 S Angle St
Mount Joy, PA 17552-2031
Phone
(717) 653-1507
NPI assigned
May 7, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PC012358PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Counseling Services, LLC Past
since May 10, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X PC012358 PA Yes

Addresses

Primary practice location

410 S Angle St
Mount Joy, PA 17552-2031

Mailing address

843 4TH St
Lancaster, PA 17603-5022
Phone (717) 951-4053

Other providers in Mount Joy, PA

All providers in Mount Joy, PA · Professional Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.