Anchored Self | |
701 Cumberland St Ste 201 Lebanon PA 17042-5231 | |
(267) 507-4933 | |
Not Available |
Full Name | Anchored Self |
---|---|
Speciality | Social Worker |
Location | 701 Cumberland St Ste 201, Lebanon, Pennsylvania |
Authorized Official Name and Position | Christy Yohn (OWNER) |
Authorized Official Contact | 2675074933 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Anchored Self 701 Cumberland St Ste 201 Lebanon PA 17042-5231 Ph: (267) 507-4933 | Anchored Self 701 Cumberland St Ste 201 Lebanon PA 17042-5231 Ph: (267) 507-4933 |
NPI Number | 1134997075 |
---|---|
Provider Enumeration Date | 12/19/2023 |
Last Update Date | 12/19/2023 |
Certification Date | 12/19/2023 |
Medicare PECOS PAC ID | 9638519044 |
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Medicare Enrollment ID | O20240502001973 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134997075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Christy Mae Yohn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821632720 PECOS PAC ID: 0042650459 Enrollment ID: I20240502001807 |
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