Kimberly Stokes, LPC | |
1169 Wyoming Ave, Forty Fort, PA 18704-4003 | |
(570) 762-9592 | |
Not Available |
Full Name | Kimberly Stokes |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1169 Wyoming Ave, Forty Fort, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003573163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC004335 (Pennsylvania) | Primary |
Entity Name | Thaxton Holistic Wellness Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609243898 PECOS PAC ID: 2769818418 Enrollment ID: O20200129000324 |
Mailing Address | Practice Location Address |
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Kimberly Stokes, LPC 1169 Wyoming Ave, Forty Fort, PA 18704-4003 Ph: () - | Kimberly Stokes, LPC 1169 Wyoming Ave, Forty Fort, PA 18704-4003 Ph: (570) 762-9592 |
George Mercurio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1169 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-904-7363 Fax: 570-348-4079 | |
Julia Lieback, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1169 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-472-8938 | |
Tiffani Gebhardt, Counselor Medicare: Medicare Enrolled Practice Location: 1169 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-904-7363 Fax: 570-348-4079 | |
Allyson Nichole Villella, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1169 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-904-7363 Fax: 570-348-4079 | |
Jackalynn Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1169 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-904-7363 | |
Ms. Jeanne Ann Grymko, L.P.C., C.A.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 E Turner St, Forty Fort, PA 18704 Phone: 570-313-6449 |