Michelle Hetrick, LPC | |
200 Prushnok Dr, Punxsutawney, PA 15767-2343 | |
(814) 938-3310 | |
(814) 938-6804 |
Full Name | Michelle Hetrick |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 200 Prushnok Dr, Punxsutawney, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841529740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC005327 (Pennsylvania) | Secondary |
101YM0800X | Counselor - Mental Health | PC005327 (Pennsylvania) | Primary |
Entity Name | Cen Clear Child Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841289733 PECOS PAC ID: 9436258860 Enrollment ID: O20070625000752 |
Mailing Address | Practice Location Address |
---|---|
Michelle Hetrick, LPC 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (814) 938-3310 | Michelle Hetrick, LPC 200 Prushnok Dr, Punxsutawney, PA 15767-2343 Ph: (814) 938-3310 |
Mrs. Danielle Marie Nelson, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Prushnok Drive Suite #103, Punxsutawney, PA 15767 Phone: 814-938-4444 | |
Mrs. Amanda Marie Rowland, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Prushnok Drive, Suite #103, Punxsutawney, PA 15767 Phone: 814-938-4444 | |
Barbara R. Schall, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Prushnak Drive, Suite 103, Punxsutawney, PA 15767 Phone: 814-938-4444 Fax: 814-938-3313 | |
Ms. Tiffany J Dupont, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Prushnok Drive, Punxsutawney, PA 15767 Phone: 814-938-4444 Fax: 814-938-3313 | |
Barbara B Elkin, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 21967 Route 119, Punxsutawney, PA 15767 Phone: 724-471-8171 Fax: 814-618-5930 | |
Carissa Micale, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 Elk Run Ave, Punxsutawney, PA 15767 Phone: 814-938-6340 | |
Melissa Kennis, MS Counselor Medicare: Medicare Enrolled Practice Location: 117 Elk Run Ave, Punxsutawney, PA 15767 Phone: 814-938-6340 |