The Light Program | |
1440 Russell Rd Paoli PA 19301-1236 | |
(610) 644-6464 | |
(610) 644-4066 |
Full Name | The Light Program |
---|---|
Speciality | Counselor - Mental Health |
Location | 1440 Russell Rd, Paoli, Pennsylvania |
Authorized Official Name and Position | Jonathon Wolf (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8149400617 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Light Program 700 American Ave Ste 201 King Of Prussia PA 19406-4031 Ph: (610) 644-6464 | The Light Program 1440 Russell Rd Paoli PA 19301-1236 Ph: (610) 644-6464 |
NPI Number | 1396766333 |
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Provider Enumeration Date | 07/23/2006 |
Last Update Date | 05/12/2021 |
Certification Date | 05/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396766333 | NPI | - | NPPES |
0001788000 | Other | PA | BCBS PROVIDER NUMBER |
7016608 | Other | PA | AETNA PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 125090 (Pennsylvania) | Primary |
323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Secondary |
Remed Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Industrial Blvd, Suite 203, Paoli, PA 19301 Phone: 484-595-9300 Fax: 484-595-0377 | |
Dr George Abraham Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 15 Industrial Blvd, Suite 203, Paoli, PA 19301 Phone: 610-240-0240 Fax: 610-240-0335 | |
Denmark Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Russell Rd Ste 205, Paoli, PA 19301 Phone: 484-302-8453 | |
Drawing Room Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Weatherstone Dr, Paoli, PA 19301 Phone: 484-401-1260 | |
Community Services Of Devereux Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 S Valley Rd, Paoli, PA 19301 Phone: 610-933-8110 Fax: 610-933-7451 | |
Anne Unterkoefler Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 W Central Ave Ste 2a, Paoli, PA 19301 Phone: 484-350-5345 Fax: 610-644-7075 | |
Melissa Roberts, Lmft & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 S Valley Rd # 304e, Paoli, PA 19301 Phone: 215-470-9377 |