| Shawne D Diaz, LPC | |
|
964 Isabel Dr, Lebanon, PA 17042-7482 | |
| (717) 274-9777 | |
| (717) 274-9815 |
| Full Name | Shawne D Diaz |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 964 Isabel Dr, Lebanon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952360232 | NPI | - | NPPES |
| 387279 | Other | NH | MVP PIN |
| 14Y007926NH01 | Other | NH | ANTHEM ACES # |
| 30423181 | Medicaid | NH | |
| 103760175 | Medicaid | PA | |
| 11362913 | Other | CAQH | |
| 2153905 | Other | NH | CIGNA BH PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC010078 (Pennsylvania) | Primary |
| Entity Name | Philhaven |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043316441 PECOS PAC ID: 8729991419 Enrollment ID: O20031110000103 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawne D Diaz, LPC 785 5th Ave Ste 3, Chambersburg, PA 17201-4232 Ph: (717) 263-9555 | Shawne D Diaz, LPC 964 Isabel Dr, Lebanon, PA 17042-7482 Ph: (717) 274-9777 |
Jacquelyn Hoover, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 S 9th St, Lebanon, PA 17042 Phone: 717-273-5992 | |
Grace Munz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Cumberland St, Lebanon, PA 17042 Phone: 717-274-2741 | |
Lindsay Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 N 7th St, Lebanon, PA 17046 Phone: 717-272-5464 Fax: 717-376-1712 | |
Shannon Dee Kramer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Schneider Dr, Lebanon, PA 17046 Phone: 717-270-2444 Fax: 717-270-2472 | |
Jan Schober, Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Cumberland St, Lebanon, PA 17042 Phone: 717-274-2741 Fax: 717-274-5405 | |
Katelyn Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Cumberland St, Lebanon, PA 17042 Phone: 717-274-2741 | |
Helena Gelok, Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Cumberland St, Lebanon, PA 17042 Phone: 717-274-2741 Fax: 717-274-5405 |