| Marentay, Llc | |
|
1158 Pittsburgh Rd Ste 200 Valencia PA 16059-3128 | |
| (724) 473-9444 | |
| Not Available |
| Full Name | Marentay, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1158 Pittsburgh Rd Ste 200, Valencia, Pennsylvania |
| Authorized Official Name and Position | Sherry Marie Cosner-marentay (OWNER) |
| Authorized Official Contact | 7244739444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marentay, Llc 1158 Pittsburgh Rd Ste 200 Valencia PA 16059-3128 Ph: (724) 473-9444 | Marentay, Llc 1158 Pittsburgh Rd Ste 200 Valencia PA 16059-3128 Ph: (724) 473-9444 |
| NPI Number | 1376027474 |
|---|---|
| Provider Enumeration Date | 09/24/2018 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Medicare PECOS PAC ID | 0749532273 |
|---|---|
| Medicare Enrollment ID | O20181011001807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376027474 | NPI | - | NPPES |
| 1770764581 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sherry M Cosner-marentay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770764581 PECOS PAC ID: 7810139268 Enrollment ID: I20130814000263 |
Take Root Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 Browns Hill Rd, Valencia, PA 16059 Phone: 412-403-7148 |