| Experiencing Eden, Llc | |
|
1204 W Washington St New Castle PA 16101-1992 | |
| (877) 395-3635 | |
| (724) 498-4333 |
| Full Name | Experiencing Eden, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1204 W Washington St, New Castle, Pennsylvania |
| Authorized Official Name and Position | Tanesha Leah Townsell (OWNER) |
| Authorized Official Contact | 8773953635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Experiencing Eden, Llc 324 Winter Rd New Castle PA 16101-1029 Ph: (877) 395-3635 | Experiencing Eden, Llc 1204 W Washington St New Castle PA 16101-1992 Ph: (877) 395-3635 |
| NPI Number | 1215684295 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 03/09/2022 |
| Certification Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215684295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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