Willow Springs Counseling Llc | |
111 S Spring St Bellefonte PA 16823-1335 | |
(814) 599-3381 | |
Not Available |
Full Name | Willow Springs Counseling Llc |
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Speciality | Social Worker |
Location | 111 S Spring St, Bellefonte, Pennsylvania |
Authorized Official Name and Position | Paula A Stahl (OWNER/OUTPATIENT THERAPIST) |
Authorized Official Contact | 8145993381 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Willow Springs Counseling Llc Po Box 192 Avis PA 17721-0192 Ph: (814) 599-3381 | Willow Springs Counseling Llc 111 S Spring St Bellefonte PA 16823-1335 Ph: (814) 599-3381 |
NPI Number | 1902375157 |
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Provider Enumeration Date | 11/16/2018 |
Last Update Date | 11/16/2018 |
Medicare PECOS PAC ID | 7517293640 |
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Medicare Enrollment ID | O20190729000322 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902375157 | NPI | - | NPPES |
12687817 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Paula A Stahl |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811307747 PECOS PAC ID: 8921367707 Enrollment ID: I20180124002368 |
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