Organization
FIAT LUX COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL BELLOMO MACK LCSW (THERAPIST)
(717) 458-8450
Entity
Organization
Contact information
Practice address
219 E MAIN ST, SUITE 201, MECHANICSBURG, PA 17055-6541
(717) 458-8450
(717) 458-8451
Mailing address
219 E MAIN ST, SUITE 201, MECHANICSBURG, PA 17055-6541
(717) 458-8450
(717) 458-8451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087739
MEDICARE ID, TYPE UNSPECIFIED
PA
01
—
CW013916
LCSW, LICENSED CLINICAL SOCIAL WORKER
PA
Enumeration date
05/16/2011
Last updated
05/16/2011
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