Provider Demographics
NPI:1730694373
Name:SAFE & SOUND COUNSELING LLC
Entity type:Organization
Organization Name:SAFE & SOUND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DERRER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:267-225-7402
Mailing Address - Street 1:1161 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-2076
Mailing Address - Country:US
Mailing Address - Phone:267-225-7402
Mailing Address - Fax:484-926-2339
Practice Address - Street 1:1161 PENN AVE
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-2076
Practice Address - Country:US
Practice Address - Phone:267-225-7402
Practice Address - Fax:484-926-2339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF00059106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty