| All About Life | |
|
4056 E State St Hermitage PA 16148-3403 | |
| (724) 699-8818 | |
| (724) 981-3372 |
| Full Name | All About Life |
|---|---|
| Speciality | Counselor |
| Location | 4056 E State St, Hermitage, Pennsylvania |
| Authorized Official Name and Position | Dawn Renee Smith (OWNER) |
| Authorized Official Contact | 7246998818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All About Life 4056 E State St Hermitage PA 16148-3403 Ph: (724) 699-8818 | All About Life 4056 E State St Hermitage PA 16148-3403 Ph: (724) 699-8818 |
| NPI Number | 1215132113 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1759722663 |
|---|---|
| Medicare Enrollment ID | O20240509001672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215132113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC004398 (Pennsylvania) | Primary |
| 101YP2500X | Counselor - Professional | E0004297 (Ohio) | Secondary |
| Provider Name | Dawn Renee Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073717674 PECOS PAC ID: 2668813577 Enrollment ID: I20240509001852 |
| Provider Name | Melissa J Ellis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447524111 PECOS PAC ID: 8022459957 Enrollment ID: I20240509002424 |
| Provider Name | Geoffrey Stephen Hudak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790043438 PECOS PAC ID: 5799126546 Enrollment ID: I20240511000050 |
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