A Journey To You...llc | |
1609 N Atherton St State College PA 16803-3055 | |
(814) 325-0280 | |
(814) 325-0280 |
Full Name | A Journey To You...llc |
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Speciality | Counselor |
Location | 1609 N Atherton St, State College, Pennsylvania |
Authorized Official Name and Position | Bethanne Burkholder (OWNER; EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8143250280 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A Journey To You...llc 1609 N Atherton St State College PA 16803-3055 Ph: (814) 325-0280 | A Journey To You...llc 1609 N Atherton St State College PA 16803-3055 Ph: (814) 325-0280 |
NPI Number | 1407270234 |
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Provider Enumeration Date | 02/14/2014 |
Last Update Date | 02/14/2014 |
Medicare PECOS PAC ID | 4385906262 |
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Medicare Enrollment ID | O20180314000145 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407270234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC005818 (Pennsylvania) | Primary |
Provider Name | Paula A Stahl |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811307747 PECOS PAC ID: 8921367707 Enrollment ID: I20180124002368 |
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