| Expressive Pathways, Llc | |
|
7540 Allentown Blvd Unit 5 Harrisburg PA 17112-4237 | |
| (717) 919-8022 | |
| Not Available |
| Full Name | Expressive Pathways, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7540 Allentown Blvd, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Ashleigh Mae Brewer Shaffer (CEO, OWNER) |
| Authorized Official Contact | 2237971485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Expressive Pathways, Llc 7540 Allentown Blvd Unit 5 Harrisburg PA 17112-4237 Ph: () - | Expressive Pathways, Llc 7540 Allentown Blvd Unit 5 Harrisburg PA 17112-4237 Ph: (717) 919-8022 |
| NPI Number | 1689986861 |
|---|---|
| Provider Enumeration Date | 07/05/2010 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689986861 | NPI | - | NPPES |
| 103861580-0001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-10-6973 (Pennsylvania) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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