| T. W. Ponessa And Associates Counseling Services, Inc. | |
|
811 Ashbourne Avenue Manheim Township PA 17601 | |
| (717) 560-7917 | |
| (717) 560-6452 |
| Full Name | T. W. Ponessa And Associates Counseling Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 811 Ashbourne Avenue, Manheim Township, Pennsylvania |
| Authorized Official Name and Position | Catherine A. Deguire (CEO) |
| Authorized Official Contact | 7175607917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T. W. Ponessa And Associates Counseling Services, Inc. 2141 Oregon Pike Lancaster PA 17601 Ph: (717) 560-7917 | T. W. Ponessa And Associates Counseling Services, Inc. 811 Ashbourne Avenue Manheim Township PA 17601 Ph: (717) 560-7917 |
| NPI Number | 1780994350 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 10/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780994350 | NPI | - | NPPES |
| 100775933 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 311720 (Pennsylvania) | Primary |
T. W. Ponessa And Associates Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: School Road, Manheim Township, PA 17601 Phone: 717-560-7917 Fax: 717-560-6452 |