| Harbor Counseling | |
|
7095 Route 287 Wellsboro PA 16901-6711 | |
| (570) 724-5272 | |
| (570) 724-4512 |
| Full Name | Harbor Counseling |
|---|---|
| Speciality | Counselor |
| Location | 7095 Route 287, Wellsboro, Pennsylvania |
| Authorized Official Name and Position | Laurie Sue Roof (PROJECT DIRECTOR) |
| Authorized Official Contact | 5707245272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Counseling 7095 Route 287 Wellsboro PA 16901-6711 Ph: (570) 724-5272 | Harbor Counseling 7095 Route 287 Wellsboro PA 16901-6711 Ph: (570) 724-5272 |
| NPI Number | 1699754424 |
|---|---|
| Provider Enumeration Date | 01/11/2006 |
| Last Update Date | 11/02/2023 |
| Certification Date | 11/02/2023 |
| Medicare PECOS PAC ID | 3779856786 |
|---|---|
| Medicare Enrollment ID | O20170913000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699754424 | NPI | - | NPPES |
| 0016666180003 | Medicaid | PA | |
| 994520 | Other | PA | BLUE CROSS PROVIDER ID |
| 664069 | Other | PA | VALUEOPTIONS ID |
| Provider Name | Tracy L Pequignot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639340300 PECOS PAC ID: 1254651938 Enrollment ID: I20150520001324 |
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