Individual
ELIZABETH MICCIULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR-BC
Contact information
Practice address
4920 YORK ROAD, SUITE 2FF, BUCKINGHAM, PA 18912
(215) 550-1851
Mailing address
1608 SPUR RD, YARDLEY, PA 19067-2610
(609) 647-7956
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37PC01080000
NJ
101Y00000X
Counselor
Primary
PC017185
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
18077
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18077
CAADC
PA
01
—
23-491
ATR-BC ART THERAPIST
—
Enumeration date
01/11/2023
Last updated
03/27/2025
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