Provider Demographics
NPI:1730515354
Name:SCHOLWINSKI, AMANDA (LPC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:SCHOLWINSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 STEELE RD
Mailing Address - Street 2:APT. C-17
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-4509
Mailing Address - Country:US
Mailing Address - Phone:215-917-1158
Mailing Address - Fax:
Practice Address - Street 1:315 STEELE RD
Practice Address - Street 2:APT. C-17
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-4509
Practice Address - Country:US
Practice Address - Phone:215-917-1158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007094101YM0800X
PA11626974101YS0200X
NJ898506101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA11626974OtherPA DEPT. OF EDUCATION