Hope Counseling And Behavioral Services Llc | |
1023 Interchange Rd Gilbert PA 18331-0279 | |
(570) 402-1006 | |
(610) 681-8275 |
Full Name | Hope Counseling And Behavioral Services Llc |
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Speciality | Social Worker |
Location | 1023 Interchange Rd, Gilbert, Pennsylvania |
Authorized Official Name and Position | Ana Mercedes Velez (FOUNDER) |
Authorized Official Contact | 5704021006 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hope Counseling And Behavioral Services Llc Po Box 279 Gilbert PA 18331-0279 Ph: (570) 402-1006 | Hope Counseling And Behavioral Services Llc 1023 Interchange Rd Gilbert PA 18331-0279 Ph: (570) 402-1006 |
NPI Number | 1821498403 |
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Provider Enumeration Date | 09/02/2014 |
Last Update Date | 10/13/2015 |
Medicare PECOS PAC ID | 1850691106 |
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Medicare Enrollment ID | O20151118002136 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821498403 | NPI | - | NPPES |
1011203100003 | Medicaid | PA | |
083979 | Other | PA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW013229 (Pennsylvania) | Primary |
Provider Name | Ana M Velez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417043936 PECOS PAC ID: 6002876182 Enrollment ID: I20041013000589 |
Silver Lining Limited Liability Company Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 Interchange Road, Gilbert, PA 18331 Phone: 570-234-2060 |