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1100 Adams Ave Ste 100 Audubon PA 19403-2404 | |
| (610) 389-9090 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 1100 Adams Ave Ste 100, Audubon, Pennsylvania |
| Authorized Official Name and Position | Emily Gatto (DIRECTOR) |
| Authorized Official Contact | 6103899090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1100 Adams Ave Ste 100 Audubon PA 19403-2404 Ph: (610) 389-9090 | 1100 Adams Ave Ste 100 Audubon PA 19403-2404 Ph: (610) 389-9090 |
| NPI Number | 1104687367 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 06/27/2024 |
| Certification Date | 06/27/2024 |
| Medicare PECOS PAC ID | 2860937406 |
|---|---|
| Medicare Enrollment ID | O20240708004009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104687367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Emily Gatto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225574486 PECOS PAC ID: 3779028311 Enrollment ID: I20240708004101 |
| Provider Name | Austen T Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336994045 PECOS PAC ID: 6204372618 Enrollment ID: I20240722003026 |
| Provider Name | Kellyn M Wright |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548001688 PECOS PAC ID: 8820529829 Enrollment ID: I20241001003653 |
Anchored Counseling Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2722 Apple Valley Ln, Audubon, PA 19403 Phone: 907-299-0059 |