Provider Demographics
NPI:1124709084
Name:SIPLING, CRYSTAL LEE (LPC)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:LEE
Last Name:SIPLING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:LEE
Other - Last Name:HORNINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1830 COLONIAL VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6729
Mailing Address - Country:US
Mailing Address - Phone:610-462-5552
Mailing Address - Fax:
Practice Address - Street 1:1830 COLONIAL VILLAGE LN
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6729
Practice Address - Country:US
Practice Address - Phone:267-217-7065
Practice Address - Fax:267-217-7607
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-25
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015963101YM0800X, 101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional