| Living Changes Therapies | |
|
5 Great Valley Pkwy Ste 210 Malvern PA 19355-1426 | |
| (804) 822-5529 | |
| Not Available |
| Full Name | Living Changes Therapies |
|---|---|
| Speciality | Social Worker |
| Location | 5 Great Valley Pkwy Ste 210, Malvern, Pennsylvania |
| Authorized Official Name and Position | Paul Duncan Gushurst (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8048225529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Changes Therapies 468 Crescent Dr West Chester PA 19382-8256 Ph: () - | Living Changes Therapies 5 Great Valley Pkwy Ste 210 Malvern PA 19355-1426 Ph: (804) 822-5529 |
| NPI Number | 1083320006 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 01/24/2023 |
| Certification Date | 01/24/2023 |
| Medicare PECOS PAC ID | 5991164337 |
|---|---|
| Medicare Enrollment ID | O20230704000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083320006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Paul Gushurst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962805564 PECOS PAC ID: 4486944709 Enrollment ID: I20160527000773 |
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