George Waldenmayer Lpc | |
149 Horseshoe Drive Effort PA 18330-7757 | |
(570) 350-2206 | |
Not Available |
Full Name | George Waldenmayer Lpc |
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Speciality | Counselor |
Location | 149 Horseshoe Drive, Effort, Pennsylvania |
Authorized Official Name and Position | George Carl Waldenmayer (OWNER-COUNSELOR) |
Authorized Official Contact | 5703502206 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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George Waldenmayer Lpc 149 Horseshoe Drive Effort PA 18330-7757 Ph: (570) 350-2206 | George Waldenmayer Lpc 149 Horseshoe Drive Effort PA 18330-7757 Ph: (570) 350-2206 |
NPI Number | 1265198766 |
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Provider Enumeration Date | 11/10/2021 |
Last Update Date | 11/15/2021 |
Certification Date | 11/15/2021 |
Medicare PECOS PAC ID | 0547607871 |
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Medicare Enrollment ID | O20240322001305 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265198766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | George Carl Waldenmayer |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1093249146 PECOS PAC ID: 1456798784 Enrollment ID: I20240322001495 |
Apex Behavior Management Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Saturn Dr, Effort, PA 18330 Phone: 272-207-8113 | |
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