Organization
WINGS OF CHANGE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL A. THOMAS PH.D., LPC (OWNER)
(412) 445-7480
Entity
Organization
Contact information
Practice address
101 S MAIN ST, SUITE 202, DONOVAN'S CORNER, COOPERSBURG, PA 18036-1912
(484) 863-1010
(484) 863-1011
Mailing address
101 S MAIN ST, SUITE 202, DONOVAN'S CORNER, COOPERSBURG, PA 18036-1912
(484) 863-1010
(484) 863-1011
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PC004168
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245343300
PRACTITIONER
PA
Enumeration date
04/26/2010
Last updated
04/26/2010
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