| Transformative Pathways Llc | |
|
222 South Market Street Suite 104 Elizabethtown PA 17022 | |
| (717) 779-6639 | |
| Not Available |
| Full Name | Transformative Pathways Llc |
|---|---|
| Speciality | Counselor |
| Location | 222 South Market Street, Elizabethtown, Pennsylvania |
| Authorized Official Name and Position | Kimberly Anne Walheim (OUTPATIENT THERAPIST/CO OWNER) |
| Authorized Official Contact | 7177796639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformative Pathways Llc 222 South Market Street Suite 104 Elizabethtown PA 17022 Ph: (717) 779-6639 | Transformative Pathways Llc 222 South Market Street Suite 104 Elizabethtown PA 17022 Ph: (717) 779-6639 |
| NPI Number | 1760108021 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 10/18/2022 |
| Certification Date | 10/18/2022 |
| Medicare PECOS PAC ID | 9234582362 |
|---|---|
| Medicare Enrollment ID | O20240125001039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760108021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michele Marie Heffner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013421676 PECOS PAC ID: 4789037813 Enrollment ID: I20240125001517 |
| Provider Name | Kimberly A Walheim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669811709 PECOS PAC ID: 5698128726 Enrollment ID: I20240126000092 |
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