Mindy Farley, PH.D., LPC, CRC
Individual provider Active NPI Professional Counselor · Blakely, PA
NPI 1407567977 · NPPES record last updated Jul 4, 2024
Key facts
- NPI
- 1407567977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC015111 (PA)
- Practice address
- 1714 Main St
Blakely, PA 18447-1362 - Phone
- (570) 795-9195
- NPI assigned
- Dec 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC015111 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farley Counseling & Consulting LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC015111 | PA | Yes |
Addresses
Primary practice location
1714 Main St
Blakely, PA 18447-1362
Mailing address
801 Forest Rd
Jefferson Township, PA 18436-3423
Phone (570) 780-3834
Other providers in Blakely, PA
- Kate Conklin
- Nicole Cush
- Eco Arts Living
- Erica Engles-Senak
- Farley Counseling & Consulting LLC
- John N Gershey Jr.
- GMC LCSW LLC
- Carlyn B Gregory
- Alfred E Hardaway
- Rebekah Susan Howell
All providers in Blakely, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.