| Main Line Adult Counseling, Llc | |
|
252 Vincent Rd Paoli PA 19301-1127 | |
| (484) 343-6136 | |
| Not Available |
| Full Name | Main Line Adult Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 252 Vincent Rd, Paoli, Pennsylvania |
| Authorized Official Name and Position | Margaret L Phipps (SOLE OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4843436136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Line Adult Counseling, Llc 252 Vincent Rd Paoli PA 19301-1127 Ph: (484) 343-6136 | Main Line Adult Counseling, Llc 252 Vincent Rd Paoli PA 19301-1127 Ph: (484) 343-6136 |
| NPI Number | 1598130916 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 03/10/2016 |
| Medicare PECOS PAC ID | 7113222829 |
|---|---|
| Medicare Enrollment ID | O20160217002228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598130916 | NPI | - | NPPES |
| 334933ZS0E | Other | PA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW017851 (Pennsylvania) | Primary |
| Provider Name | Margaret L Phipps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548698830 PECOS PAC ID: 4880824820 Enrollment ID: I20140313000525 |
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