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 provides Clinical Psychologist services 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 Not confirmed with CMS for 10 years — call before visiting
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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