Provider Demographics
NPI:1902505902
Name:WAY WITHIN COUNSELING & CLINICAL SUPERVISION LLC
Entity Type:Organization
Organization Name:WAY WITHIN COUNSELING & CLINICAL SUPERVISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRIE-AN
Authorized Official - Middle Name:
Authorized Official - Last Name:GERHART
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:717-940-3853
Mailing Address - Street 1:28 APPLE LN
Mailing Address - Street 2:
Mailing Address - City:MOUNTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17554-1217
Mailing Address - Country:US
Mailing Address - Phone:717-940-3853
Mailing Address - Fax:
Practice Address - Street 1:28 APPLE LN
Practice Address - Street 2:
Practice Address - City:MOUNTVILLE
Practice Address - State:PA
Practice Address - Zip Code:17554-1217
Practice Address - Country:US
Practice Address - Phone:717-940-3853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-28
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty