Organization
EMMAUS COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA BANKS LPC (OP THERAPIST / OWNER)
(814) 808-9538
Entity
Organization
Contact information
Practice address
117 OLDE FARM OFFICE RD STE 204, DUNCANSVILLE, PA 16635
(814) 808-9538
Mailing address
815 ROSEHILL DR, ALTOONA, PA 16602-6701
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009696
PA
Other
Enumeration date
01/19/2018
Last updated
06/05/2018
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