| Wings Of Change Counseling, Llc | |
|
101 S Main St Suite 202, Donovan's Corner Coopersburg PA 18036-1912 | |
| (484) 863-1010 | |
| (484) 863-1011 |
| Full Name | Wings Of Change Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 S Main St, Coopersburg, Pennsylvania |
| Authorized Official Name and Position | Carol A. Thomas (OWNER) |
| Authorized Official Contact | 4124457480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wings Of Change Counseling, Llc 101 S Main St Suite 202, Donovan's Corner Coopersburg PA 18036-1912 Ph: (484) 863-1010 | Wings Of Change Counseling, Llc 101 S Main St Suite 202, Donovan's Corner Coopersburg PA 18036-1912 Ph: (484) 863-1010 |
| NPI Number | 1619294055 |
|---|---|
| Provider Enumeration Date | 04/26/2010 |
| Last Update Date | 04/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619294055 | NPI | - | NPPES |
| 1245343300 | Other | PA | PRACTITIONER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PC004168 (Pennsylvania) | Primary |
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