Lifedesign Therapy Llc | |
3910 Caughey Rd Ste 200 Erie PA 16506-4098 | |
(814) 464-5895 | |
Not Available |
Full Name | Lifedesign Therapy Llc |
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Speciality | Social Worker |
Location | 3910 Caughey Rd Ste 200, Erie, Pennsylvania |
Authorized Official Name and Position | Lianna Koser (OWNER) |
Authorized Official Contact | 8144645895 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifedesign Therapy Llc 3910 Caughey Rd Ste 200 Erie PA 16506-4098 Ph: (814) 464-5895 | Lifedesign Therapy Llc 3910 Caughey Rd Ste 200 Erie PA 16506-4098 Ph: (814) 464-5895 |
NPI Number | 1558110718 |
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Provider Enumeration Date | 05/17/2024 |
Last Update Date | 06/07/2024 |
Certification Date | 06/07/2024 |
Medicare PECOS PAC ID | 1850826025 |
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Medicare Enrollment ID | O20241125002232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558110718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Lianna Koser |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346995073 PECOS PAC ID: 4486041068 Enrollment ID: I20220428002767 |
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