| Enlightened Counseling Services Llc | |
|
419 Wood St California PA 15419-1139 | |
| (724) 715-3700 | |
| Not Available |
| Full Name | Enlightened Counseling Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 419 Wood St, California, Pennsylvania |
| Authorized Official Name and Position | Kimberly S Ruth (OWNER/PRESIDENT) |
| Authorized Official Contact | 1843226789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enlightened Counseling Services Llc 419 Wood St California PA 15419-1139 Ph: () - | Enlightened Counseling Services Llc 419 Wood St California PA 15419-1139 Ph: (724) 715-3700 |
| NPI Number | 1942948658 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 05/23/2022 |
| Certification Date | 05/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942948658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Constellate Patchwork Therapy & Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 2nd St, California, PA 15419 Phone: 814-758-0442 |