MAKALAY SAMUELLA TARAWALLY LPC
NPI 1215691233
Counselor - Professional in Ardmore, PA
Active since October 26, 2021
About Makalay Samuella Tarawally Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAKALAY SAMUELLA TARAWALLY LPC (NPI 1215691233) is an individual professional provider in Ardmore, Pennsylvania, licensed in Pennsylvania (PC013354) and active in the NPI registry since October 2021.
NPPES Registry Identity
NPI1215691233
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMAKALAY SAMUELLA TARAWALLYCredential: LPC
Location Address142 CRICKET AVE APT 5Ardmore, PA 19003-1327
Mailing Address142 Cricket Ave Apt 5Ardmore, PA 19003-1327 · (267) 353-5129
Phone(267) 353-5129
Sole ProprietorYes
Enumeration DateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
✔ NPI 1215691233 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC013354
142 CRICKET AVE APT 5, Ardmore, PA 19003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215691233, enumerated as an "individual" on October 26, 2021.
The provider is located at 142 CRICKET AVE APT 5 ARDMORE, PA 19003 and the phone number is (267) 353-5129.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
