| Thaxton Holistic Wellness Center | |
|
228 S Main Ave Scranton PA 18504-2545 | |
| (570) 904-7363 | |
| (570) 227-1591 |
| Full Name | Thaxton Holistic Wellness Center |
|---|---|
| Speciality | Counselor |
| Location | 228 S Main Ave, Scranton, Pennsylvania |
| Authorized Official Name and Position | Sara Lynne Thaxton (OWNER) |
| Authorized Official Contact | 5709047363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thaxton Holistic Wellness Center 228 S Main Ave Scranton PA 18504-2545 Ph: (570) 904-7363 | Thaxton Holistic Wellness Center 228 S Main Ave Scranton PA 18504-2545 Ph: (570) 904-7363 |
| NPI Number | 1609243898 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 2769818418 |
|---|---|
| Medicare Enrollment ID | O20200129000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609243898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC008211 (Pennsylvania) | Primary |
| Provider Name | Tammy Rade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407857899 PECOS PAC ID: 2567897994 Enrollment ID: I20200114000041 |
| Provider Name | Mariah L Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467982314 PECOS PAC ID: 7315375383 Enrollment ID: I20200325002433 |
| Provider Name | Breanna M Finagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407255490 PECOS PAC ID: 3971924796 Enrollment ID: I20200603002509 |
| Provider Name | Brenda Sue Staerker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447814140 PECOS PAC ID: 7416312442 Enrollment ID: I20230426003284 |
| Provider Name | Linda Grace Gardepe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023721099 PECOS PAC ID: 7214398254 Enrollment ID: I20230807002725 |
| Provider Name | Sara Lynne Thaxton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598057747 PECOS PAC ID: 0840626594 Enrollment ID: I20240116003569 |
| Provider Name | Kimberly Stokes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003573163 PECOS PAC ID: 9537504006 Enrollment ID: I20240224000411 |
| Provider Name | Rachel Tunis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275189581 PECOS PAC ID: 3173968526 Enrollment ID: I20240226002442 |
| Provider Name | Tiffani Gebhardt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306563374 PECOS PAC ID: 2567807928 Enrollment ID: I20240226002694 |
| Provider Name | Brianna Boriosi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912599713 PECOS PAC ID: 3476998840 Enrollment ID: I20240226003155 |
| Provider Name | Samantha Lauren Blanchard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659952604 PECOS PAC ID: 1254776073 Enrollment ID: I20240301002656 |
| Provider Name | Emily Golden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245881978 PECOS PAC ID: 5991140758 Enrollment ID: I20240302000041 |
| Provider Name | Christina Vanwert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538847900 PECOS PAC ID: 9931545357 Enrollment ID: I20240307003326 |
| Provider Name | Laura Elizabeth Mariani |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376864785 PECOS PAC ID: 6709225782 Enrollment ID: I20240424000707 |
Mandy Doria, Lpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 N Washington Ave, Suite 601, Scranton, PA 18503 Phone: 570-650-6450 | |
Catholic Social Services Of The Diocese Of Scranton, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Wyoming Ave, Scranton, PA 18503 Phone: 570-207-2283 | |
Keystone Renaissance Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Hickory St, Scranton, PA 18505 Phone: 570-702-8500 Fax: 570-702-8575 | |
Voluntary Action Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Jefferson Ave, Scranton, PA 18510 Phone: 570-347-5616 | |
Integrated Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3218 Pittston Ave, Scranton, PA 18505 Phone: 570-521-4637 | |
Zigray Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 712 Linden St, Scranton, PA 18510 Phone: 570-903-2058 | |
Phoenix Rising Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1512 E Gibson St, Scranton, PA 18510 Phone: 570-575-3195 Fax: 570-347-6665 |