| Outpatient Psych Clinic-governor Rd | |
|
905 W Governor Rd Briarcrest Square, Suite 250 Hershey PA 17033-2307 | |
| (717) 531-7235 | |
| (717) 531-0067 |
| Full Name | Outpatient Psych Clinic-governor Rd |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 905 W Governor Rd, Hershey, Pennsylvania |
| Authorized Official Name and Position | Stephen M Massini (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7175318405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outpatient Psych Clinic-governor Rd Po Box 856 Mc A410 Hershey PA 17033-0856 Ph: (717) 531-1159 | Outpatient Psych Clinic-governor Rd 905 W Governor Rd Briarcrest Square, Suite 250 Hershey PA 17033-2307 Ph: (717) 531-7235 |
| NPI Number | 1245376821 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 07/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245376821 | NPI | - | NPPES |
| 1007653100030 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 327730 (Pennsylvania) | Primary |
Karen Thrush Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 W Chocolate Ave Fl 2, Hershey, PA 17033 Phone: 717-473-0057 Fax: 570-915-5355 | |
Lee Ann Grisolano Phd Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 E Chocolate Ave, 2nd Floore, Hershey, PA 17033 Phone: 717-533-2601 | |
Mshmc Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 W Governor Rd, Hershey, PA 17033 Phone: 800-243-1455 Fax: 717-531-7269 | |
Lisa Plotkin, Lcsw, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 561 W Chocolate Ave, Hershey, PA 17033 Phone: 717-350-5329 Fax: 717-520-2526 | |
Inspiring Insights Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 561 W Chocolate Ave, Hershey, PA 17033 Phone: 717-329-3107 | |
Ppi Partial Hospitalization Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Northeast Dr, Hershey, PA 17033 Phone: 717-782-3131 | |
Sand Catle Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 W Chocolate Ave, Suite B, Hershey, PA 17033 Phone: 717-525-0558 Fax: 717-533-2169 |