Family Guidance Center | |
1105 Berkshire Blvd Ste 110 Wyomissing PA 19610-1222 | |
(610) 374-4963 | |
(610) 378-5403 |
Full Name | Family Guidance Center |
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Speciality | Community/Behavioral Health |
Location | 1105 Berkshire Blvd Ste 110, Wyomissing, Pennsylvania |
Authorized Official Name and Position | Toni Sue Gerhart (CLINICAL DIRECTOR) |
Authorized Official Contact | 6103744963 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Guidance Center 1235 Penn Ave Suite 205-206 Wyomissing PA 19610-2100 Ph: (610) 374-4963 | Family Guidance Center 1105 Berkshire Blvd Ste 110 Wyomissing PA 19610-1222 Ph: (610) 374-4963 |
NPI Number | 1932268356 |
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Provider Enumeration Date | 12/08/2006 |
Last Update Date | 10/31/2024 |
Certification Date | 10/31/2024 |
Medicare PECOS PAC ID | 1850291303 |
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Medicare Enrollment ID | O20040112000049 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932268356 | NPI | - | NPPES |
100778677 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 204750 (Pennsylvania) | Primary |
Provider Name | Mark A Putnam |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558300244 PECOS PAC ID: 1456249689 Enrollment ID: I20080324000574 |
Provider Name | Irene Beth Heckman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316201627 PECOS PAC ID: 8820374887 Enrollment ID: I20170406001032 |
Provider Name | Colleen Lynne Conrad |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407372063 PECOS PAC ID: 5890052484 Enrollment ID: I20171207001007 |
Provider Name | Debra Kemmerling |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689728941 PECOS PAC ID: 7012272073 Enrollment ID: I20180523001410 |
Provider Name | Marie C Ryan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174815492 PECOS PAC ID: 1759626898 Enrollment ID: I20181218003756 |
Provider Name | Rebecca A Malfaro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073086674 PECOS PAC ID: 9830439645 Enrollment ID: I20190313002963 |
Provider Name | Amanda Elizabeth Shollenberger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598402372 PECOS PAC ID: 6507245487 Enrollment ID: I20220623001518 |
Provider Name | Kristen White |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1538625934 PECOS PAC ID: 5799137303 Enrollment ID: I20240119000853 |
Provider Name | Allison S Jurgensen |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1942788187 PECOS PAC ID: 7315399847 Enrollment ID: I20240119001603 |
Provider Name | Jerome Wachter |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1164948873 PECOS PAC ID: 7618329905 Enrollment ID: I20240123001946 |
Provider Name | Kimberly Mcconnell |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1083768162 PECOS PAC ID: 3072683739 Enrollment ID: I20240123002713 |
Provider Name | Kim A Sullivan |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1346347465 PECOS PAC ID: 0749632990 Enrollment ID: I20240123004168 |
Provider Name | Toni S Gerhart |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1891849428 PECOS PAC ID: 6709956469 Enrollment ID: I20240124003594 |
Provider Name | Ingrid N Valerio Mejia |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881029767 PECOS PAC ID: 0840643920 Enrollment ID: I20240124004232 |
Provider Name | Nichole Coccia |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1942767397 PECOS PAC ID: 6002269628 Enrollment ID: I20240131001522 |
Provider Name | Hayley A Griffith |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1144874959 PECOS PAC ID: 9032562558 Enrollment ID: I20240131001764 |
Provider Name | Natalia A Johnson |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1477104479 PECOS PAC ID: 4082067400 Enrollment ID: I20240201000342 |
Provider Name | Jennifer B Miller |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1033856208 PECOS PAC ID: 2264885607 Enrollment ID: I20240201001026 |
Provider Name | Jodi-ann Lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194589101 PECOS PAC ID: 9335585058 Enrollment ID: I20240315001637 |
Provider Name | Cassandra J Hartman |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1356877096 PECOS PAC ID: 5395184972 Enrollment ID: I20240416000475 |
Provider Name | Naomi Kim |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1942727441 PECOS PAC ID: 9830538412 Enrollment ID: I20240416000499 |
Provider Name | Metaxia E Papademetriou |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1427530443 PECOS PAC ID: 2769821289 Enrollment ID: I20240417001353 |
Provider Name | Kenneth Terry Rohrbach |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1497218887 PECOS PAC ID: 2365984580 Enrollment ID: I20240604000144 |
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