| Pac Center Of Healing And Wellness, Llc | |
|
4150 W Market St York PA 17408-5934 | |
| (717) 650-6583 | |
| (717) 793-2165 |
| Full Name | Pac Center Of Healing And Wellness, Llc |
|---|---|
| Speciality | Counselor |
| Location | 4150 W Market St, York, Pennsylvania |
| Authorized Official Name and Position | Kim Jane Sanders (PRESIDENT/THERAPIST) |
| Authorized Official Contact | 7176506583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pac Center Of Healing And Wellness, Llc 4150 W Market St York PA 17408-5934 Ph: (717) 650-6583 | Pac Center Of Healing And Wellness, Llc 4150 W Market St York PA 17408-5934 Ph: (717) 650-6583 |
| NPI Number | 1104475953 |
|---|---|
| Provider Enumeration Date | 09/04/2019 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Medicare PECOS PAC ID | 8729439765 |
|---|---|
| Medicare Enrollment ID | O20240104000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104475953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Heather A Merkert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447682059 PECOS PAC ID: 4486982352 Enrollment ID: I20190830000476 |
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