| Emily Wisti, | |
| 826 Delaware Ave, Fountain Hill, PA 18015-1174 | |
| (610) 419-3101 | |
| Not Available | 
| Full Name | Emily Wisti | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Addiction (substance Use Disorder) | 
| Location | 826 Delaware Ave, Fountain Hill, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568945491 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary | 
| 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 |