| Grief Relief Llc | |
|
1023 Mumma Rd Ste 200 Wormleysburg PA 17043-1164 | |
| (717) 522-6111 | |
| Not Available |
| Full Name | Grief Relief Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1023 Mumma Rd Ste 200, Wormleysburg, Pennsylvania |
| Authorized Official Name and Position | Lisa S Zoll (OWNER) |
| Authorized Official Contact | 7175221116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grief Relief Llc 1023 Mumma Rd Ste 200 Wormleysburg PA 17043-1164 Ph: (717) 522-6111 | Grief Relief Llc 1023 Mumma Rd Ste 200 Wormleysburg PA 17043-1164 Ph: (717) 522-6111 |
| NPI Number | 1356992507 |
|---|---|
| Provider Enumeration Date | 09/27/2019 |
| Last Update Date | 07/26/2021 |
| Certification Date | 07/26/2021 |
| Medicare PECOS PAC ID | 0042644841 |
|---|---|
| Medicare Enrollment ID | O20200103001040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356992507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa S Zoll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720010440 PECOS PAC ID: 9436400314 Enrollment ID: I20180918000240 |
| Provider Name | Adriane Basarab |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336803998 PECOS PAC ID: 5496127847 Enrollment ID: I20230211000010 |
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