| Wise Counseling Center | |
|
4408 Peach St # 201 Erie PA 16509-1374 | |
| (814) 392-5681 | |
| Not Available |
| Full Name | Wise Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 4408 Peach St # 201, Erie, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Wise (PARTNER) |
| Authorized Official Contact | 8143925681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Counseling Center 4408 Peach St # 201 Erie PA 16509-1374 Ph: () - | Wise Counseling Center 4408 Peach St # 201 Erie PA 16509-1374 Ph: (814) 392-5681 |
| NPI Number | 1902553316 |
|---|---|
| Provider Enumeration Date | 03/05/2022 |
| Last Update Date | 03/05/2022 |
| Certification Date | 03/05/2022 |
| Medicare PECOS PAC ID | 0941676886 |
|---|---|
| Medicare Enrollment ID | O20221018003456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902553316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| Provider Name | Elizabeth N Wise |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619078136 PECOS PAC ID: 9133284458 Enrollment ID: I20090916000370 |
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