| Seven Star Psychotherapy, Llc | |
|
1601 3rd St Ste 6 Beaver PA 15009-2420 | |
| (724) 951-3941 | |
| Not Available |
| Full Name | Seven Star Psychotherapy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1601 3rd St Ste 6, Beaver, Pennsylvania |
| Authorized Official Name and Position | Justin Michael Miller (OWNER) |
| Authorized Official Contact | 7249513941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seven Star Psychotherapy, Llc 1601 3rd St Ste 6 Beaver PA 15009-2420 Ph: (724) 951-3941 | Seven Star Psychotherapy, Llc 1601 3rd St Ste 6 Beaver PA 15009-2420 Ph: (724) 951-3941 |
| NPI Number | 1275216418 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/12/2023 |
| Medicare PECOS PAC ID | 3072976422 |
|---|---|
| Medicare Enrollment ID | O20230831004007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275216418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Justin M Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588974836 PECOS PAC ID: 6507085461 Enrollment ID: I20181221001621 |
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