| Groundwork Counseling & Wellness Inc | |
|
400 E Main St Ste 2 Palmyra PA 17078-1829 | |
| (717) 833-4898 | |
| Not Available |
| Full Name | Groundwork Counseling & Wellness Inc |
|---|---|
| Speciality | Social Worker |
| Location | 400 E Main St Ste 2, Palmyra, Pennsylvania |
| Authorized Official Name and Position | Heidi L Kohr (PRESIDENT/LICENSED THERAPIST) |
| Authorized Official Contact | 7177994193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Groundwork Counseling & Wellness Inc 400 E Main St Ste 2 Palmyra PA 17078-1829 Ph: (717) 833-4898 | Groundwork Counseling & Wellness Inc 400 E Main St Ste 2 Palmyra PA 17078-1829 Ph: (717) 833-4898 |
| NPI Number | 1699448779 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 10/27/2024 |
| Certification Date | 10/27/2024 |
| Medicare PECOS PAC ID | 4385032739 |
|---|---|
| Medicare Enrollment ID | O20211104000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699448779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Heidi L Kohr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043442551 PECOS PAC ID: 0345471959 Enrollment ID: I20140325000907 |
Theosis Therapeutic Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 982 E Pine St, Palmyra, PA 17078 Phone: 717-838-7293 |