| Collaborative Mental Wellness | |
|
940 E Park Dr Ste 206 Harrisburg PA 17111-2800 | |
| (717) 421-7629 | |
| Not Available |
| Full Name | Collaborative Mental Wellness |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 940 E Park Dr Ste 206, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Duronn Stern (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 7174217629 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Mental Wellness 940 E Park Dr Ste 206 Harrisburg PA 17111-2800 Ph: (717) 421-7629 | Collaborative Mental Wellness 940 E Park Dr Ste 206 Harrisburg PA 17111-2800 Ph: (717) 421-7629 |
| NPI Number | 1073210803 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/13/2023 |
| Medicare PECOS PAC ID | 0345774790 |
|---|---|
| Medicare Enrollment ID | O20241108000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073210803 | NPI | - | NPPES |
| 1942835327 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Duronn Stern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942835327 PECOS PAC ID: 1254865603 Enrollment ID: I20241108000092 |
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