| Greencastle Family Practice, Counseling And Psychological Services | |
|
50 Eastern Ave Suite 115 Greencastle PA 17225-1100 | |
| (717) 597-0095 | |
| (717) 597-3147 |
| Full Name | Greencastle Family Practice, Counseling And Psychological Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 50 Eastern Ave, Greencastle, Pennsylvania |
| Authorized Official Name and Position | Jenniffer L Showalter (EXEC ASSISTANT) |
| Authorized Official Contact | 2234652025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greencastle Family Practice, Counseling And Psychological Services 50 Eastern Ave Suite 135 Greencastle PA 17225-1100 Ph: (717) 597-0095 | Greencastle Family Practice, Counseling And Psychological Services 50 Eastern Ave Suite 115 Greencastle PA 17225-1100 Ph: (717) 597-0095 |
| NPI Number | 1639201023 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639201023 | NPI | - | NPPES |
| 50001005 | Other | PA | CAPITAL BLUE CROSS GROUP |
| 706786 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC000234 (Pennsylvania) | Primary |
| 103G00000X | Clinical Neuropsychologist | PS008907L (Pennsylvania) | Secondary |
Greencastle Family Practice Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 50 Eastern Ave, Ste 135, Greencastle, PA 17225 Phone: 717-597-3151 Fax: 717-597-8933 |