Provider Demographics
NPI:1699448779
Name:GROUNDWORK COUNSELING & WELLNESS INC
Entity type:Organization
Organization Name:GROUNDWORK COUNSELING & WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/LICENSED THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:L
Authorized Official - Last Name:KOHR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:717-799-4193
Mailing Address - Street 1:400 E MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-1829
Mailing Address - Country:US
Mailing Address - Phone:717-833-4898
Mailing Address - Fax:
Practice Address - Street 1:400 E MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:PA
Practice Address - Zip Code:17078-1829
Practice Address - Country:US
Practice Address - Phone:717-833-4898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2024-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty