| Phoenix Counseling Services, Llc | |
|
2311 Fairfield Rd Gettysburg PA 17325-6309 | |
| (717) 778-1030 | |
| Not Available |
| Full Name | Phoenix Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2311 Fairfield Rd, Gettysburg, Pennsylvania |
| Authorized Official Name and Position | Tish Nicole Weikel (OWNER/OUTPATIENT THERAPIST) |
| Authorized Official Contact | 7177781030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Counseling Services, Llc 2311 Fairfield Rd Gettysburg PA 17325-6309 Ph: (717) 778-1030 | Phoenix Counseling Services, Llc 2311 Fairfield Rd Gettysburg PA 17325-6309 Ph: (717) 778-1030 |
| NPI Number | 1376065581 |
|---|---|
| Provider Enumeration Date | 07/10/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3779837976 |
|---|---|
| Medicare Enrollment ID | O20181106002246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376065581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Pennsylvania) | Secondary |
| Provider Name | April H Mandeville Palm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861702201 PECOS PAC ID: 9335455187 Enrollment ID: I20150825004147 |
| Provider Name | Katherine A Howe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316355241 PECOS PAC ID: 4183993728 Enrollment ID: I20170713000158 |
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