Organization
WEST END COUNSELING & WELLNESS, LLC
Active
Other names
Lisa P Coulter
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA P. COULTER PHD (OWNER / PROVIDER)
(610) 569-0252
Entity
Organization
Contact information
Practice address
1011 BROOKSIDE RD STE 122, ALLENTOWN, PA 18106-9020
(610) 569-0252
(484) 460-2470
Mailing address
1011 BROOKSIDE RD STE 122, ALLENTOWN, PA 18106-9020
(610) 569-0252
(484) 460-2470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036060860001
—
PA
Enumeration date
08/11/2018
Last updated
03/22/2021
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