| The Couch, Llc | |
|
208 S Arch St Suite 5 Connellsville PA 15425-3519 | |
| (724) 322-5178 | |
| (724) 603-2503 |
| Full Name | The Couch, Llc |
|---|---|
| Speciality | Counselor |
| Location | 208 S Arch St, Connellsville, Pennsylvania |
| Authorized Official Name and Position | Andrew J Loy (OWNER) |
| Authorized Official Contact | 7243225178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Couch, Llc 208 S Arch St Suite 5 Connellsville PA 15425-3519 Ph: (724) 322-5178 | The Couch, Llc 208 S Arch St Suite 5 Connellsville PA 15425-3519 Ph: (724) 322-5178 |
| NPI Number | 1982092003 |
|---|---|
| Provider Enumeration Date | 12/23/2014 |
| Last Update Date | 12/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982092003 | NPI | - | NPPES |
| 1029188750001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | PC006230 (Pennsylvania) | Primary |
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