Provider Demographics
NPI:1871916304
Name:CYNTHIA GRIESHABER, MA, LPC
Entity type:Organization
Organization Name:CYNTHIA GRIESHABER, MA, LPC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIESHABER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:610-248-4614
Mailing Address - Street 1:4120 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-7831
Mailing Address - Country:US
Mailing Address - Phone:610-248-4614
Mailing Address - Fax:610-866-3160
Practice Address - Street 1:35 E ELIZABETH AVE
Practice Address - Street 2:SUITE 30A
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-6505
Practice Address - Country:US
Practice Address - Phone:610-248-4614
Practice Address - Fax:610-866-3160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA007199101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty