Provider Demographics
NPI:1356222087
Name:THE ENCORE COLLECTIVE LLC
Entity type:Organization
Organization Name:THE ENCORE COLLECTIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TYLYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:COFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-488-7989
Mailing Address - Street 1:60 W BROAD ST STE 98
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-5721
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:60 W BROAD ST STE 98
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5721
Practice Address - Country:US
Practice Address - Phone:484-488-7989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty