Waves Of Hope, Llc | |
80 Smiley Rd Glen Campbell PA 15742-8611 | |
(814) 935-9019 | |
Not Available |
Full Name | Waves Of Hope, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 80 Smiley Rd, Glen Campbell, Pennsylvania |
Authorized Official Name and Position | Gina Hetrick (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 8149359019 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Waves Of Hope, Llc 80 Smiley Rd Glen Campbell PA 15742-8611 Ph: (814) 935-9019 | Waves Of Hope, Llc 80 Smiley Rd Glen Campbell PA 15742-8611 Ph: (814) 935-9019 |
NPI Number | 1285414953 |
---|---|
Provider Enumeration Date | 10/02/2023 |
Last Update Date | 10/02/2023 |
Certification Date | 04/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285414953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Waves Of Hope, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 80 Smiley Rd, Glen Campbell, PA 15742 Phone: 814-935-9019 |