OrganizationActive
Lifespan Counseling Center LLC
NPI 1104287564 · Clinical Psychologist · Southampton, PA
Provider details
- NPI number
- 1104287564
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Andrea Mannino, Owner(215) 355-8812
- License
- PA-003501-L (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
729 Grove Ave
Suite 3
Southampton, PA 18966-6008
Phone: (215) 355-8812
Fax: (215) 355-0926
Street-level locationGet directions
Mailing address
729 Grove Ave
Southampton, PA 18966-6008
Registry dates
- Enumerated
- 2016-03-14
- Last updated
- 2016-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.