| Life Counseling, Llc | |
|
324 E Antietam St Ste 104 Hagerstown MD 21740-5754 | |
| (240) 707-1454 | |
| (307) 800-7808 |
| Full Name | Life Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 324 E Antietam St Ste 104, Hagerstown, Maryland |
| Authorized Official Name and Position | Michael Paul Shea (OWNER) |
| Authorized Official Contact | 7178165882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Counseling, Llc 347 Laurel Ln Waynesboro PA 17268-1868 Ph: (717) 816-5882 | Life Counseling, Llc 324 E Antietam St Ste 104 Hagerstown MD 21740-5754 Ph: (240) 707-1454 |
| NPI Number | 1639899610 |
|---|---|
| Provider Enumeration Date | 08/31/2022 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Medicare PECOS PAC ID | 9739565979 |
|---|---|
| Medicare Enrollment ID | O20220926002423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639899610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Michael P Shea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730195629 PECOS PAC ID: 9133378623 Enrollment ID: I20170926000141 |
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