Organization
ALLAY - MENTAL HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA E CAPEL MA, NCC, LPC (MEMBER)
(570) 433-0249
Entity
Organization
Contact information
Practice address
811 MARKET ST, WILLIAMSPORT, PA 17701-3402
(570) 433-0249
Mailing address
811 MARKET ST, WILLIAMSPORT, PA 17701-3402
(570) 433-0249
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029202560001
—
PA
Enumeration date
08/20/2019
Last updated
07/06/2020
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