| Healing Room Inc. | |
|
2023 Cato Ave Suite 101 State College PA 16801-2765 | |
| (814) 599-4124 | |
| Not Available |
| Full Name | Healing Room Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2023 Cato Ave, State College, Pennsylvania |
| Authorized Official Name and Position | Katherine Gates-moore (CO-OWNER) |
| Authorized Official Contact | 8145994124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Room Inc. 2023 Cato Ave Suite 101 State College PA 16801-2765 Ph: (814) 599-4124 | Healing Room Inc. 2023 Cato Ave Suite 101 State College PA 16801-2765 Ph: (814) 599-4124 |
| NPI Number | 1033501523 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 03/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033501523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC006863 (Pennsylvania) | Secondary |
| 1041C0700X | Social Worker - Clinical | CW017193 (Pennsylvania) | Primary |
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