Provider Demographics
NPI:1205654266
Name:DELPHINE MARTIN LPC LLC
Entity type:Organization
Organization Name:DELPHINE MARTIN LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DELPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-690-0362
Mailing Address - Street 1:313 W LIBERTY ST STE 128
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2790
Mailing Address - Country:US
Mailing Address - Phone:717-690-0362
Mailing Address - Fax:717-406-1938
Practice Address - Street 1:313 W LIBERTY ST STE 128
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2790
Practice Address - Country:US
Practice Address - Phone:717-690-0362
Practice Address - Fax:717-406-1938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty