Provider Demographics
NPI:1427742899
Name:JILL W SOBER, LPC LLC
Entity type:Organization
Organization Name:JILL W SOBER, LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:WYNNE
Authorized Official - Last Name:SOBER-WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:484-232-9181
Mailing Address - Street 1:2857 NAZARETH RD STE 103
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-2718
Mailing Address - Country:US
Mailing Address - Phone:484-232-9181
Mailing Address - Fax:
Practice Address - Street 1:2857 NAZARETH RD STE 103
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-2718
Practice Address - Country:US
Practice Address - Phone:484-232-9181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health