| Multipath Counseling | |
|
3755 E State St # 5 Hermitage PA 16148-3410 | |
| (724) 977-9025 | |
| Not Available |
| Full Name | Multipath Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 3755 E State St # 5, Hermitage, Pennsylvania |
| Authorized Official Name and Position | Stacey Laverock (OWNER/PROVIDER) |
| Authorized Official Contact | 7249779025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Multipath Counseling 919 Theresa Ave Hermitage PA 16148-2808 Ph: (724) 977-9025 | Multipath Counseling 3755 E State St # 5 Hermitage PA 16148-3410 Ph: (724) 977-9025 |
| NPI Number | 1982200937 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 02/18/2021 |
| Certification Date | 02/18/2021 |
| Medicare PECOS PAC ID | 9638588536 |
|---|---|
| Medicare Enrollment ID | O20210505001909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982200937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stacey M Laverock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861881492 PECOS PAC ID: 7911288220 Enrollment ID: I20161228001750 |
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