Provider Demographics
NPI:1144875683
Name:LIFEWAY COUNSELING
Entity type:Organization
Organization Name:LIFEWAY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-516-5003
Mailing Address - Street 1:3001 GETTYSBURG RD STE 112
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-7202
Mailing Address - Country:US
Mailing Address - Phone:717-516-5003
Mailing Address - Fax:717-265-2826
Practice Address - Street 1:3001 GETTYSBURG RD STE 112
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7202
Practice Address - Country:US
Practice Address - Phone:717-516-5003
Practice Address - Fax:717-265-2826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-01
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health