Provider Demographics
NPI:1841944303
Name:AMANDA RUZANSKY COUNSELING, LLC
Entity type:Organization
Organization Name:AMANDA RUZANSKY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUZANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:717-347-4256
Mailing Address - Street 1:PO BOX 104
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17057-0104
Mailing Address - Country:US
Mailing Address - Phone:717-347-4256
Mailing Address - Fax:
Practice Address - Street 1:121 N SPRING ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:PA
Practice Address - Zip Code:17057-1424
Practice Address - Country:US
Practice Address - Phone:717-347-4256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health