Provider Demographics
NPI:1699658633
Name:SOZO COUNSELING LLC
Entity type:Organization
Organization Name:SOZO COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DANAE
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:FANJOY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-454-6694
Mailing Address - Street 1:31 MEADOWLARK LN
Mailing Address - Street 2:
Mailing Address - City:MYERSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17067-8804
Mailing Address - Country:US
Mailing Address - Phone:717-454-6694
Mailing Address - Fax:
Practice Address - Street 1:31 MEADOWLARK LN
Practice Address - Street 2:
Practice Address - City:MYERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17067-8804
Practice Address - Country:US
Practice Address - Phone:717-454-6694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health