| Patrick J Damond, LPC | |
|
1163 E 38th St, Erie, PA 16504-1869 | |
| (814) 812-9738 | |
| Not Available |
| Full Name | Patrick J Damond |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 23 Years |
| Location | 1163 E 38th St, Erie, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053445312 | NPI | - | NPPES |
| 1007320880002 | Medicaid | PA | |
| 11663910 | Other | PA | CAQH # |
| 1007320880001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | PC003590 (Pennsylvania) | Secondary |
| 101YP2500X | Counselor - Professional | PC003590 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellspring Of Life, Llc | 1456885425 | 2 |
| Entity Name | Wellspring Of Life, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154700110 PECOS PAC ID: 1456885425 Enrollment ID: O20241113002333 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick J Damond, LPC 1163 E 38th St, Erie, PA 16504-1869 Ph: (814) 812-9738 | Patrick J Damond, LPC 1163 E 38th St, Erie, PA 16504-1869 Ph: (814) 812-9738 |
Ms. Lorie D Panitzke, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 E 38th St, Erie, PA 16504 Phone: 814-860-2008 Fax: 814-868-6255 | |
Miss Jennifer Christine Copeland, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 E 38th St, Erie, PA 16504 Phone: 814-860-2000 Fax: 814-860-2110 | |
Dr. Julaine Ellen Field, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 4402 Peach St, Erie, PA 16509 Phone: 814-616-3199 | |
Amanda Lee Hart, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3939 W Ridge Rd Ste A204, Erie, PA 16506 Phone: 814-449-6264 Fax: 814-286-6840 | |
Katelynne Hankins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3910 Caughey Rd Ste 200, Erie, PA 16506 Phone: 814-480-9890 | |
Frank Diplacido, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2560 W 12th St, Erie, PA 16505 Phone: 814-456-2014 | |
Dr. Kenneth Grant Mccurdy, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 University Square, Psychology Dept., Gannon University, Erie, PA 16541 Phone: 814-871-7791 Fax: 814-871-5511 |