| Safe Harbors | |
|
2018 Maple Street Morrisdale PA 16858 | |
| (814) 577-0128 | |
| Not Available |
| Full Name | Safe Harbors |
|---|---|
| Speciality | Social Worker |
| Location | 2018 Maple Street, Morrisdale, Pennsylvania |
| Authorized Official Name and Position | Randi J Reichard (OWNER) |
| Authorized Official Contact | 8145770128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Harbors Po Box 40 Lanse PA 16849-0040 Ph: (814) 577-0128 | Safe Harbors 2018 Maple Street Morrisdale PA 16858 Ph: (814) 577-0128 |
| NPI Number | 1891239380 |
|---|---|
| Provider Enumeration Date | 12/19/2016 |
| Last Update Date | 12/19/2016 |
| Medicare PECOS PAC ID | 5890071815 |
|---|---|
| Medicare Enrollment ID | O20170405002207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891239380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW018139 (Pennsylvania) | Primary |
| Provider Name | Randi J Reichard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689966210 PECOS PAC ID: 3577788140 Enrollment ID: I20140716000159 |
| Provider Name | Amy L Hionis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295141398 PECOS PAC ID: 6901349208 Enrollment ID: I20240614001607 |
| Provider Name | Jaycie A Hoke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851936488 PECOS PAC ID: 4981136330 Enrollment ID: I20241010002007 |