Liberty Lane Counseling Llp | |
4949 Liberty Ln Ste 160 Allentown PA 18106-9059 | |
(484) 245-2115 | |
Not Available |
Full Name | Liberty Lane Counseling Llp |
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Speciality | Clinic/Center |
Location | 4949 Liberty Ln Ste 160, Allentown, Pennsylvania |
Authorized Official Name and Position | Candice Dugan (GENERAL PARTNER) |
Authorized Official Contact | 2154357142 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Liberty Lane Counseling Llp 253 Danielle Dr Harleysville PA 19438-1943 Ph: (484) 245-2115 | Liberty Lane Counseling Llp 4949 Liberty Ln Ste 160 Allentown PA 18106-9059 Ph: (484) 245-2115 |
NPI Number | 1679227110 |
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Provider Enumeration Date | 02/03/2022 |
Last Update Date | 02/03/2022 |
Certification Date | 02/03/2022 |
Medicare PECOS PAC ID | 1254718489 |
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Medicare Enrollment ID | O20220510000341 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679227110 | NPI | - | NPPES |
Provider Name | Susan Lovegrove Geise |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740424233 PECOS PAC ID: 7810885928 Enrollment ID: I20040310000052 |
Provider Name | Melissa G Schaffer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699953455 PECOS PAC ID: 8426133463 Enrollment ID: I20080314000213 |
Provider Name | Kimberly Bruns |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891032579 PECOS PAC ID: 1456506526 Enrollment ID: I20130222000156 |
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