Coral Lively, | |
6079 Main St, East Petersburg, PA 17520-1267 | |
(855) 272-1653 | |
(717) 376-1712 |
Full Name | Coral Lively |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 6079 Main St, East Petersburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720671241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
Entity Name | Pennsylvania Counseling Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669474979 PECOS PAC ID: 1355331471 Enrollment ID: O20040512001114 |
Mailing Address | Practice Location Address |
---|---|
Coral Lively, 200 N 7th St, Lebanon, PA 17046-5040 Ph: (717) 272-5464 | Coral Lively, 6079 Main St, East Petersburg, PA 17520-1267 Ph: (855) 272-1653 |
Grace Orama, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6079 Main St, East Petersburg, PA 17520 Phone: 855-272-1653 Fax: 717-376-1712 | |
Jessica Lapp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6079 Main St, East Petersburg, PA 17520 Phone: 717-560-1908 | |
Shanna Harvey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1987 State St, East Petersburg, PA 17520 Phone: 717-420-0336 | |
Rachel Elizabeth Gerrity, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1987 State St, East Petersburg, PA 17520 Phone: 717-723-8040 Fax: 717-900-9660 | |
Mary Lou Kunkle, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6079 Main St, East Petersburg, PA 17520 Phone: 717-560-1908 Fax: 717-560-4941 | |
Laney Rapsey, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1987 State St Ste 100, East Petersburg, PA 17520 Phone: 717-723-8040 | |
Rebecca King, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1987 State St, East Petersburg, PA 17520 Phone: 717-723-8040 |