Taylor Heasley, LPC | |
120 S Martin St, Titusville, PA 16354-1850 | |
(814) 827-8400 | |
(814) 827-8405 |
Full Name | Taylor Heasley |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 120 S Martin St, Titusville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376136663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | PC015970 (Pennsylvania) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Primary Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417932609 PECOS PAC ID: 9234046228 Enrollment ID: O20031124000553 |
Mailing Address | Practice Location Address |
---|---|
Taylor Heasley, LPC 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (814) 827-8400 | Taylor Heasley, LPC 120 S Martin St, Titusville, PA 16354-1850 Ph: (814) 827-8400 |
Bonnie L Gross, M.S., M.A. Counselor Medicare: Medicare Enrolled Practice Location: 452 S Franklin St, Titusville, PA 16354 Phone: 814-827-6648 Fax: 814-827-0206 | |
Joseph Campasino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 W Central Ave Ste 108, Titusville, PA 16354 Phone: 814-201-1325 | |
Megan Nicole Toth, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 Maxwell Dr, Titusville, PA 16354 Phone: 814-657-8217 | |
Krista L Stearns, LPC Counselor Medicare: Medicare Enrolled Practice Location: 120 S Martin St, Titusville, PA 16354 Phone: 814-827-8400 Fax: 814-827-8405 | |
Shelly L Proper, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 West Spring Street, Titusville, PA 16354 Phone: 814-827-2790 Fax: 814-827-4364 |