| Awakened Mind Counseling Center Llc | |
|
62 Collins Cir Hanover PA 17331-3448 | |
| (717) 630-3140 | |
| Not Available |
| Full Name | Awakened Mind Counseling Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 62 Collins Cir, Hanover, Pennsylvania |
| Authorized Official Name and Position | Henry Hirsch (OWNER/COUNSELOR) |
| Authorized Official Contact | 7176303140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakened Mind Counseling Center Llc 62 Collins Cir Hanover PA 17331-3448 Ph: (717) 630-3140 | Awakened Mind Counseling Center Llc 62 Collins Cir Hanover PA 17331-3448 Ph: (717) 630-3140 |
| NPI Number | 1417544644 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 12/22/2020 |
| Certification Date | 12/22/2020 |
| Medicare PECOS PAC ID | 0749622645 |
|---|---|
| Medicare Enrollment ID | O20240523001568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417544644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Henry J Hirsch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689211377 PECOS PAC ID: 6406206820 Enrollment ID: I20240523001491 |
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