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LIFESPAN COUNSELING CENTER LLC
NPI 1104287564
Psychologist - Clinical in Southampton, PA

Active since March 14, 2016
729 GROVE AVE, SUITE 3, SOUTHAMPTON, PA 18966(215) 355-8812(215) 355-0926 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lifespan Counseling Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESPAN COUNSELING CENTER LLC (NPI 1104287564) is a healthcare organization registered as a clinical in Southampton, Pennsylvania and active in the NPI registry since March 2016. The organization lists Andrea Sywulak Mannino, Owner, as its authorized official.

NPPES Registry Identity

NPI1104287564
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLIFESPAN COUNSELING CENTER LLC
Location Address729 GROVE AVE, SUITE 3Southampton, PA 18966-6008
Mailing Address729 Grove Ave, Suite 3Southampton, PA 18966-6008 · (215) 355-8812 · Fax (215) 355-0926
Phone(215) 355-8812
Fax(215) 355-0926
Organization SubpartNo
Authorized OfficialAndrea Sywulak ManninoOwner · (215) 355-8812
Enumeration DateMarch 14, 2016
✔ NPI 1104287564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PA-003501-L
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
729 GROVE AVE, Southampton, PA 18966
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER J SCHAUFLER
Chiropractor
729 GROVE AVE, SUITE 2
SOUTHAMPTON, PA 18966
Bucks County (215) 355-3003
MRS. LISA HENDERSON CRNP
Nurse Practitioner
729 GROVE AVE
SOUTHAMPTON, PA 18966
Bucks County (215) 322-0800
DR. CHRISTOPHER JOHN SCHAUFLER D.C.
Chiropractor
729 GROVE AVE, SUITE 2
SOUTHAMPTON, PA 18966
Bucks County (215) 355-3003
DR. RICHARD L. TEPPER M.D.
Internal Medicine (Infectious Disease)
729 GROVE AVE, UNIT 4
SOUTHAMPTON, PA 18966
Bucks County (215) 355-9634
JACQUELINE ANNE ROONEY-UDICIOUS CRNP
Nurse Practitioner
729 GROVE AVE
SOUTHAMPTON, PA 18966
Bucks County (215) 322-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifespan Counseling Center LLC's NPI number?

The NPI number for Lifespan Counseling Center LLC is 1104287564. It was assigned to this organization in the NPPES registry on March 14, 2016.

Where is Lifespan Counseling Center LLC located?

Lifespan Counseling Center LLC is located at 729 Grove Ave Suite 3, Southampton, PA 18966. The listed phone number is (215) 355-8812.

What is Lifespan Counseling Center LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Lifespan Counseling Center LLC was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.