Seven Star Psychotherapy, Llc | |
1601 3rd St Ste 6 Beaver PA 15009-2420 | |
(724) 951-3941 | |
Not Available |
Full Name | Seven Star Psychotherapy, Llc |
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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 |
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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 |
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Provider Enumeration Date | 08/14/2023 |
Last Update Date | 08/14/2023 |
Certification Date | 08/12/2023 |
Medicare PECOS PAC ID | 3072976422 |
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Medicare Enrollment ID | O20230831004007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275216418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Justin M Miller |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588974836 PECOS PAC ID: 6507085461 Enrollment ID: I20181221001621 |
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