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639 Swedesford Rd Malvern PA 19355-1530 | |
| (610) 616-5935 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 639 Swedesford Rd, Malvern, Pennsylvania |
| Authorized Official Name and Position | Staci Connolly (OWNER) |
| Authorized Official Contact | 4846450252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
639 Swedesford Rd Malvern PA 19355-1530 Ph: (610) 616-5935 | 639 Swedesford Rd Malvern PA 19355-1530 Ph: (610) 616-5935 |
| NPI Number | 1750713889 |
|---|---|
| Provider Enumeration Date | 07/31/2013 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Medicare PECOS PAC ID | 9133664626 |
|---|---|
| Medicare Enrollment ID | O20240709001622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750713889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CW014460 (Pennsylvania) | Primary |
| Provider Name | Allen Rand Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538113329 PECOS PAC ID: 9335185545 Enrollment ID: I20050628000986 |
| Provider Name | Jordan Monts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861942369 PECOS PAC ID: 1153602115 Enrollment ID: I20170105001088 |
| Provider Name | Karen Marie Owens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083369656 PECOS PAC ID: 2769877893 Enrollment ID: I20220328000734 |
| Provider Name | Staci June Connolly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649319815 PECOS PAC ID: 7113355223 Enrollment ID: I20240709002435 |
| Provider Name | Taylor Kenny |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386344711 PECOS PAC ID: 3476098997 Enrollment ID: I20240709002547 |
| Provider Name | Daniel J Cane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942449400 PECOS PAC ID: 6305381856 Enrollment ID: I20240709003707 |
| Provider Name | Stacy Shuchter-gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871834937 PECOS PAC ID: 9436694981 Enrollment ID: I20240709003938 |
| Provider Name | Hyee W Chung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902575285 PECOS PAC ID: 0042755506 Enrollment ID: I20240709004134 |
| Provider Name | Rachel Paolucci |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023583531 PECOS PAC ID: 3678018082 Enrollment ID: I20240710001869 |
| Provider Name | Hannah Karasick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619494606 PECOS PAC ID: 9436695160 Enrollment ID: I20240718001409 |
| Provider Name | Katherine Palombo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841913225 PECOS PAC ID: 3779029400 Enrollment ID: I20240718001522 |
| Provider Name | Chelsea Kristine Mcguigan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619597622 PECOS PAC ID: 5496291031 Enrollment ID: I20240719000995 |
| Provider Name | Sandra Karina Carnall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942804844 PECOS PAC ID: 4486190709 Enrollment ID: I20240723003342 |
Philip L Weber, Psy.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Victoria Ct, Malvern, PA 19355 Phone: 610-578-0974 | |
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Illumination Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Great Valley Pkwy Ste 210, Malvern, PA 19355 Phone: 484-402-4727 | |
Siza Es Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Great Valley Pkwy Ste 270, Malvern, PA 19355 Phone: 484-757-5538 | |
Aaa Neuropsychology, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 Lindenwood Dr, Suite 225, Malvern, PA 19355 Phone: 484-870-5608 | |
Paoli Psychiatric Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Central Ave, Suite 102, Malvern, PA 19355 Phone: 610-296-0142 Fax: 610-651-2880 | |
Living Changes Therapies Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5 Great Valley Pkwy Ste 210, Malvern, PA 19355 Phone: 804-822-5529 |