| Healingrace Counseling & Wellness Pllc | |
|
1002 Primrose Ave Stroudsburg PA 18360-9057 | |
| (570) 801-6947 | |
| Not Available |
| Full Name | Healingrace Counseling & Wellness Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1002 Primrose Ave, Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Josefina Villamar (MANAGER) |
| Authorized Official Contact | 5708016947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healingrace Counseling & Wellness Pllc 1002 Primrose Ave Stroudsburg PA 18360-9057 Ph: (570) 801-6947 | Healingrace Counseling & Wellness Pllc 1002 Primrose Ave Stroudsburg PA 18360-9057 Ph: (570) 801-6947 |
| NPI Number | 1609456623 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/14/2021 |
| Certification Date | 04/14/2021 |
| Medicare PECOS PAC ID | 3274942560 |
|---|---|
| Medicare Enrollment ID | O20240702000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609456623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Josefina Villamar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740863034 PECOS PAC ID: 9638588924 Enrollment ID: I20240702000198 |
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