# SOFIA LYNN MEMORIAL COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053285858
- **Authorized official:** TRISTA LYNN PUTT LPC (COUNSELOR)
- **Authorized official phone:** (484) 943-5772

## Contact information

- **Practice address:** 4 WELLINGTON BLVD STE 202, WYOMISSING, PA 19610-1800
- **Practice address phone:** (484) 943-5772
- **Mailing address:** 631 FREDERICK ST, SINKING SPRING, PA 19608-1782
- **Mailing address phone:** (484) 943-5772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2025
- **Last updated:** 10/03/2025