| Benson Counseling Of Penn Llc | |
|
2595 Interstate Dr Ste 103 Harrisburg PA 17110-9378 | |
| (502) 244-2420 | |
| (502) 996-8282 |
| Full Name | Benson Counseling Of Penn Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2595 Interstate Dr Ste 103, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Stephanie Benson (OWNER/LISW) |
| Authorized Official Contact | 5022442420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benson Counseling Of Penn Llc 12910 Shelbyville Rd Ste 300 Louisville KY 40243-2404 Ph: (502) 813-4415 | Benson Counseling Of Penn Llc 2595 Interstate Dr Ste 103 Harrisburg PA 17110-9378 Ph: (502) 244-2420 |
| NPI Number | 1922763788 |
|---|---|
| Provider Enumeration Date | 11/05/2021 |
| Last Update Date | 11/05/2021 |
| Certification Date | 11/05/2021 |
| Medicare PECOS PAC ID | 4688064348 |
|---|---|
| Medicare Enrollment ID | O20211213000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922763788 | NPI | - | NPPES |
| Provider Name | Tiffani Tatko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215535331 PECOS PAC ID: 4486068939 Enrollment ID: I20210125003036 |
| Provider Name | Stephanie Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891352977 PECOS PAC ID: 3274866884 Enrollment ID: I20211213000656 |
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