| Wellspring Counseling Center | |
|
516 W 4th St Lewistown PA 17044-2083 | |
| (717) 363-4973 | |
| (717) 363-4973 |
| Full Name | Wellspring Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 516 W 4th St, Lewistown, Pennsylvania |
| Authorized Official Name and Position | Shelly A Krohn (OWNER) |
| Authorized Official Contact | 7173634973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Counseling Center 516 W 4th St Lewistown PA 17044-2083 Ph: (717) 363-4973 | Wellspring Counseling Center 516 W 4th St Lewistown PA 17044-2083 Ph: (717) 363-4973 |
| NPI Number | 1508245390 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 05/26/2015 |
| Medicare PECOS PAC ID | 6901247097 |
|---|---|
| Medicare Enrollment ID | O20240507001988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508245390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC3114 (Pennsylvania) | Primary |
| Provider Name | Shelly Ann Krohn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821197815 PECOS PAC ID: 8729429824 Enrollment ID: I20240507002075 |
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