| Anchored Self | |
|
701 Cumberland St Ste 201 Lebanon PA 17042-5231 | |
| (267) 507-4933 | |
| Not Available |
| Full Name | Anchored Self |
|---|---|
| Speciality | Social Worker |
| Location | 701 Cumberland St Ste 201, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Christy Yohn (OWNER) |
| Authorized Official Contact | 2675074933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchored Self 701 Cumberland St Ste 201 Lebanon PA 17042-5231 Ph: (267) 507-4933 | Anchored Self 701 Cumberland St Ste 201 Lebanon PA 17042-5231 Ph: (267) 507-4933 |
| NPI Number | 1134997075 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 9638519044 |
|---|---|
| Medicare Enrollment ID | O20240502001973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134997075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christy Mae Yohn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821632720 PECOS PAC ID: 0042650459 Enrollment ID: I20240502001807 |
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