| Emily Wisti, | |
|
826 Delaware Ave, Fountain Hill, PA 18015-1174 | |
| (610) 419-3101 | |
| Not Available |
| Full Name | Emily Wisti |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 826 Delaware Ave, Fountain Hill, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568945491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pennsylvania Counseling Services, Inc. | 1355331471 | 45 |
| Entity Name | Pennsylvania Counseling Services, Inc. |
|---|---|
| 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 |
|---|---|
| Emily Wisti, 821 Delaware Ave, Fountain Hill, PA 18015-1179 Ph: (610) 419-3101 | Emily Wisti, 826 Delaware Ave, Fountain Hill, PA 18015-1174 Ph: (610) 419-3101 |
Jeremy Todd Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Deleware Ave, Fountain Hill, PA 18015 Phone: 610-419-3101 Fax: 610-419-3309 | |
Alicia Irma Denardo, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Delaware Ave, Fountain Hill, PA 18015 Phone: 610-419-3101 | |
Krystal Mondillo, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 Delaware Ave, Fountain Hill, PA 18015 Phone: 610-417-0463 | |
Dara Mclean Schwartz, MA, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Delaware Ave, Fountain Hill, PA 18015 Phone: 610-419-3101 | |
Mr. Robert Louis Pierfy Jr., MA, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Delaware Ave, Fountain Hill, PA 18015 Phone: 610-419-3101 | |
Uriel Trujillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Delaware Ave, Fountain Hill, PA 18015 Phone: 610-419-3101 | |
Jenny Duval, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Delaware Ave, Fountain Hill, PA 18015 Phone: 610-419-3101 |