| Pivotal Pointe, Llc | |
|
9048 William Penn Hwy Suite 4 Huntingdon PA 16652-6966 | |
| (814) 515-6220 | |
| Not Available |
| Full Name | Pivotal Pointe, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9048 William Penn Hwy, Huntingdon, Pennsylvania |
| Authorized Official Name and Position | Nicole Endress (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8145156220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Pointe, Llc 6997 Kettle Rd Tyrone PA 16686-6561 Ph: (814) 515-6220 | Pivotal Pointe, Llc 9048 William Penn Hwy Suite 4 Huntingdon PA 16652-6966 Ph: (814) 515-6220 |
| NPI Number | 1346602356 |
|---|---|
| Provider Enumeration Date | 03/28/2016 |
| Last Update Date | 03/28/2016 |
| Medicare PECOS PAC ID | 5991144750 |
|---|---|
| Medicare Enrollment ID | O20240413000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346602356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PC008861 (Pennsylvania) | Primary |
| Provider Name | Nicole Endress |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558725960 PECOS PAC ID: 6800235664 Enrollment ID: I20240413000078 |
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