| Let's Conquer This, Llc | |
|
17 Merline Ave Erie PA 16509-1567 | |
| (814) 566-0374 | |
| (814) 920-7108 |
| Full Name | Let's Conquer This, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17 Merline Ave, Erie, Pennsylvania |
| Authorized Official Name and Position | Alyssa Beer (PARTNERSHIP) |
| Authorized Official Contact | 8145660374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Let's Conquer This, Llc 17 Merline Ave Erie PA 16509-1567 Ph: (814) 566-0374 | Let's Conquer This, Llc 17 Merline Ave Erie PA 16509-1567 Ph: (814) 566-0374 |
| NPI Number | 1518473891 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 06/18/2019 |
| Medicare PECOS PAC ID | 8820339302 |
|---|---|
| Medicare Enrollment ID | O20190410001099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518473891 | NPI | - | NPPES |
| CW020260 | Other | PA | LCSW LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | SW129679 (Pennsylvania) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alyssa Ann Beer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255703484 PECOS PAC ID: 4082955562 Enrollment ID: I20190410001231 |
| Provider Name | Shannon M O'sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659743581 PECOS PAC ID: 4981048212 Enrollment ID: I20240214004066 |
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