Malia Lewis, BA | |
793 Old Route 119 Hwy N, Indiana, PA 15701-1372 | |
(724) 465-5576 | |
(724) 465-6379 |
Full Name | Malia Lewis |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 793 Old Route 119 Hwy N, Indiana, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154574440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC005948 (Pennsylvania) | Primary |
Entity Name | Community Guidance Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609862622 PECOS PAC ID: 7517850720 Enrollment ID: O20040203000420 |
Mailing Address | Practice Location Address |
---|---|
Malia Lewis, BA 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 Ph: (724) 465-5576 | Malia Lewis, BA 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 Ph: (724) 465-5576 |
Mr. Douglas Francart, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1380 Rt 286, Airport Professional Center, Indiana, PA 15701 Phone: 724-465-0369 Fax: 724-465-1081 | |
Mr. Todd E Vermileon, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 793 Old Route 119 Hwy North, Indiana, PA 15701 Phone: 724-465-5576 | |
Ms. Emily A Rosenberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 793 Old Route 119 Hwy North, Indiana, PA 15701 Phone: 724-465-5576 | |
Alison Marie Henry, M.S. ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 793 Old Route 119 Hwy N, Indiana, PA 15701 Phone: 724-465-5576 Fax: 724-463-3262 | |
Mrs. Tanya Marie Oliver, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1380 Route 286 Hwy E Ste 524, Indiana, PA 15701 Phone: 724-465-0369 Fax: 724-465-1081 | |
Mrs. Kimberly B Sams, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 793 Old Route 119 Highway North, Indiana, PA 15701 Phone: 724-465-5576 Fax: 724-465-6379 | |
Tayler Gene Giffen, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 793 Old Route 119 Hwy N, Indiana, PA 15701 Phone: 724-465-5576 Fax: 724-465-6379 |