Awakened Mind Counseling Center Llc | |
62 Collins Cir Hanover PA 17331-3448 | |
(717) 630-3140 | |
Not Available |
Full Name | Awakened Mind Counseling Center Llc |
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Speciality | Clinic/Center |
Location | 62 Collins Cir, Hanover, Pennsylvania |
Authorized Official Name and Position | Henry Hirsch (OWNER/COUNSELOR) |
Authorized Official Contact | 7176303140 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Awakened Mind Counseling Center Llc 62 Collins Cir Hanover PA 17331-3448 Ph: (717) 630-3140 | Awakened Mind Counseling Center Llc 62 Collins Cir Hanover PA 17331-3448 Ph: (717) 630-3140 |
NPI Number | 1417544644 |
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Provider Enumeration Date | 12/22/2020 |
Last Update Date | 12/22/2020 |
Certification Date | 12/22/2020 |
Medicare PECOS PAC ID | 0749622645 |
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Medicare Enrollment ID | O20240523001568 |
Identifier | Type | State | Issuer |
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1417544644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Henry J Hirsch |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1689211377 PECOS PAC ID: 6406206820 Enrollment ID: I20240523001491 |
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