| Kimberly Allen, LSW | |
|
62 Plaza Ln, Wellsboro, PA 16901-1766 | |
| (570) 724-7142 | |
| (570) 724-6771 |
| Full Name | Kimberly Allen |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 62 Plaza Ln, Wellsboro, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427401934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 261QM0801X (Pennsylvania) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Allen, LSW 1 W Main St, Fleetwood, PA 19522-1323 Ph: (610) 944-0445 | Kimberly Allen, LSW 62 Plaza Ln, Wellsboro, PA 16901-1766 Ph: (570) 724-7142 |
Mr. Keith K. Koons, CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7095 Route 287, Wellsboro, PA 16901 Phone: 570-724-5272 Fax: 570-724-4512 | |
Mrs. Doris A. Kyle, M.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Main St Unit 3, Wellsboro, PA 16901 Phone: 570-723-1005 Fax: 570-723-1006 | |
Joelle Young, MS, LBS Counselor Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 | |
Jason R Fry, BSL/MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 | |
Mrs. Rosalind E. Statts, CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7095 Route 287, Wellsboro, PA 16901 Phone: 570-724-5272 Fax: 570-724-4512 | |
Dr. Brian K Shrawder, PHD, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7095 Route 287, Wellsboro, PA 16901 Phone: 570-724-5272 Fax: 570-724-4512 |