| Pa Counseling Co-op | |
|
150 S Warner Rd Ste 130 King Of Prussia PA 19406-2826 | |
| (717) 921-7004 | |
| (717) 921-7004 |
| Full Name | Pa Counseling Co-op |
|---|---|
| Speciality | Counselor |
| Location | 150 S Warner Rd Ste 130, King Of Prussia, Pennsylvania |
| Authorized Official Name and Position | Andrew Lightfoot (ADMINISTRATOR) |
| Authorized Official Contact | 7179217004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pa Counseling Co-op 133 Park Pl W Shippensburg PA 17257-9212 Ph: (717) 921-7004 | Pa Counseling Co-op 150 S Warner Rd Ste 130 King Of Prussia PA 19406-2826 Ph: (717) 921-7004 |
| NPI Number | 1598479099 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Medicare PECOS PAC ID | 7517302490 |
|---|---|
| Medicare Enrollment ID | O20240301000980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598479099 | NPI | - | NPPES |
| Provider Name | Stacie Courtney Mustaphi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407204670 PECOS PAC ID: 9436509254 Enrollment ID: I20231220000863 |
| Provider Name | Stephanie Stathas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437617487 PECOS PAC ID: 0547605347 Enrollment ID: I20240304000653 |
| Provider Name | Marsha Bellamy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295295046 PECOS PAC ID: 6709221500 Enrollment ID: I20240304000741 |
| Provider Name | Elizabeth Gambier |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164929444 PECOS PAC ID: 6507201316 Enrollment ID: I20240304000823 |
| Provider Name | Jill Hollar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033896725 PECOS PAC ID: 3274978085 Enrollment ID: I20240304001012 |
| Provider Name | Angela Facchinei |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497420327 PECOS PAC ID: 6800231515 Enrollment ID: I20240304001083 |
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