| Abcs Of Building Better Lives Llc | |
|
4320 Dexter Ave Erie PA 16504-2444 | |
| (814) 825-2930 | |
| (814) 725-0707 |
| Full Name | Abcs Of Building Better Lives Llc |
|---|---|
| Speciality | Counselor |
| Location | 4320 Dexter Ave, Erie, Pennsylvania |
| Authorized Official Name and Position | Mary Lynn Rote (OWNER) |
| Authorized Official Contact | 8148252930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abcs Of Building Better Lives Llc 725 Langdon Rd Erie PA 16509-6705 Ph: (814) 825-2930 | Abcs Of Building Better Lives Llc 4320 Dexter Ave Erie PA 16504-2444 Ph: (814) 825-2930 |
| NPI Number | 1922336940 |
|---|---|
| Provider Enumeration Date | 12/02/2009 |
| Last Update Date | 09/17/2012 |
| Medicare PECOS PAC ID | 9931367950 |
|---|---|
| Medicare Enrollment ID | O20120222000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922336940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC000522 (Pennsylvania) | Primary |
| Provider Name | Charen M Pasky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487954194 PECOS PAC ID: 3577862903 Enrollment ID: I20160505001959 |
| Provider Name | Jillian Rhoades |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073901021 PECOS PAC ID: 5799065033 Enrollment ID: I20161203000114 |
| Provider Name | Alen Melik Adamyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093064248 PECOS PAC ID: 2668891318 Enrollment ID: I20200929002294 |
| Provider Name | Marylynn Rote |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598944860 PECOS PAC ID: 4284892209 Enrollment ID: I20240120000051 |
| Provider Name | Samantha Marcinko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699313411 PECOS PAC ID: 2062861230 Enrollment ID: I20240313000206 |
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