| One Eighty Counseling Services Llc | |
|
401 E Louther St Ste 110 Carlisle PA 17013-2657 | |
| (717) 837-3367 | |
| (717) 482-5559 |
| Full Name | One Eighty Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 401 E Louther St Ste 110, Carlisle, Pennsylvania |
| Authorized Official Name and Position | Maria Degaetano (OWNER/THERAPIST) |
| Authorized Official Contact | 7178373367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Eighty Counseling Services Llc 401 E Louther St Ste 110 Carlisle PA 17013-2657 Ph: (717) 837-3367 | One Eighty Counseling Services Llc 401 E Louther St Ste 110 Carlisle PA 17013-2657 Ph: (717) 837-3367 |
| NPI Number | 1598409054 |
|---|---|
| Provider Enumeration Date | 04/21/2022 |
| Last Update Date | 07/02/2022 |
| Certification Date | 07/02/2022 |
| Medicare PECOS PAC ID | 9830579812 |
|---|---|
| Medicare Enrollment ID | O20220707004134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598409054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maria E Degaetano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356665699 PECOS PAC ID: 5395179634 Enrollment ID: I20191219002411 |
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