| Clear Headed Therapy | |
|
510 N Front St Wormleysburg PA 17043-1016 | |
| (717) 606-3700 | |
| Not Available |
| Full Name | Clear Headed Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 510 N Front St, Wormleysburg, Pennsylvania |
| Authorized Official Name and Position | Brian Davis (PROVIDER) |
| Authorized Official Contact | 7176063700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Headed Therapy 8130 Adams Dr Hummelstown PA 17036-8623 Ph: (717) 606-3700 | Clear Headed Therapy 510 N Front St Wormleysburg PA 17043-1016 Ph: (717) 606-3700 |
| NPI Number | 1407541543 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Medicare PECOS PAC ID | 4880057744 |
|---|---|
| Medicare Enrollment ID | O20230825001559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407541543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Brian Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417365354 PECOS PAC ID: 0345616991 Enrollment ID: I20221021002300 |
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