Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lifespan Counseling Center LLC

Organization Clinical Psychologist · NPI 1104287564

Lifespan Counseling Center LLC is a Clinical Psychologist in Southampton, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

729 Grove Ave Ste 3
Southampton, PA 18966-6008
Phone: (215) 355-8812
Fax: (215) 355-0926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PA-003501-L (PA)

Record details

NPI number1104287564
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Mannino — Owner · (215) 355-8812
NPI enumeratedMarch 14, 2016
Last updated in NPPESMarch 14, 2016
Mailing address729 Grove Ave, Suite 3, Southampton, PA 18966-6008

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