| Heart For Change Counseling Services, Inc. | |
|
200 Willow Valley Sq Ste 205 Lancaster PA 17602-4859 | |
| (717) 606-5397 | |
| Not Available |
| Full Name | Heart For Change Counseling Services, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 200 Willow Valley Sq Ste 205, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Melissa Smith (DIRECTOR) |
| Authorized Official Contact | 7176065397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart For Change Counseling Services, Inc. 200 Willow Valley Sq Ste 205 Lancaster PA 17602-4859 Ph: () - | Heart For Change Counseling Services, Inc. 200 Willow Valley Sq Ste 205 Lancaster PA 17602-4859 Ph: (717) 606-5397 |
| NPI Number | 1982245940 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 10/01/2019 |
| Medicare PECOS PAC ID | 9830510692 |
|---|---|
| Medicare Enrollment ID | O20200603000123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982245940 | NPI | - | NPPES |
| 1034955950002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Elaine R Potts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174769400 PECOS PAC ID: 1557782323 Enrollment ID: I20200603000196 |
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