| Main Line Family Counseling, Llc | |
|
6 Porteous Rd Berwyn PA 19312-1275 | |
| (610) 644-5437 | |
| Not Available |
| Full Name | Main Line Family Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6 Porteous Rd, Berwyn, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Ann Brown (OWNER/THERAPIST) |
| Authorized Official Contact | 6106445437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Line Family Counseling, Llc 6 Porteous Rd Berwyn PA 19312-1275 Ph: (610) 644-5437 | Main Line Family Counseling, Llc 6 Porteous Rd Berwyn PA 19312-1275 Ph: (610) 644-5437 |
| NPI Number | 1659768471 |
|---|---|
| Provider Enumeration Date | 04/20/2015 |
| Last Update Date | 04/20/2015 |
| Medicare PECOS PAC ID | 1850782921 |
|---|---|
| Medicare Enrollment ID | O20211228000839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659768471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW017402 (Pennsylvania) | Primary |
| Provider Name | Elizabeth Ann Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962644104 PECOS PAC ID: 2769873835 Enrollment ID: I20211228000882 |
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