Provider Demographics
NPI:1437997384
Name:WAEF COUNSELING LLC
Entity type:Organization
Organization Name:WAEF COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR/OWN
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:YEREMSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:570-687-7564
Mailing Address - Street 1:105 WILLOWBROOK RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH ABINGTON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18411-1681
Mailing Address - Country:US
Mailing Address - Phone:570-687-7564
Mailing Address - Fax:
Practice Address - Street 1:105 WILLOWBROOK RD
Practice Address - Street 2:
Practice Address - City:SOUTH ABINGTON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18411-1681
Practice Address - Country:US
Practice Address - Phone:570-687-7564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health