Organization
DIVERGE COUNSELING LLC
Active
Other names
Diverge Counseling and Connection
Organization subpart
No
Provider details
NPI number
Authorized official
MADELYN SIMMONS LPC, ATR (OWNER)
(814) 900-4562
Entity
Organization
Contact information
Practice address
2800 W 21ST ST STE 102, ERIE, PA 16506-2980
(814) 900-4562
(814) 731-6496
Mailing address
2800 W 21ST ST STE 102, ERIE, PA 16506-2980
(814) 900-4562
(814) 731-6496
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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