| George Waldenmayer Lpc Llc | |
|
149 Horseshoe Drive Effort PA 18330-7757 | |
| (570) 350-2206 | |
| Not Available |
| Full Name | George Waldenmayer Lpc Llc |
|---|---|
| Speciality | Counselor |
| Location | 149 Horseshoe Drive, Effort, Pennsylvania |
| Authorized Official Name and Position | George Carl Waldenmayer (OWNER-COUNSELOR) |
| Authorized Official Contact | 5703502206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George Waldenmayer Lpc Llc 149 Horseshoe Drive Effort PA 18330-7757 Ph: (570) 350-2206 | George Waldenmayer Lpc Llc 149 Horseshoe Drive Effort PA 18330-7757 Ph: (570) 350-2206 |
| NPI Number | 1265198766 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 11/15/2021 |
| Certification Date | 11/15/2021 |
| Medicare PECOS PAC ID | 0547607871 |
|---|---|
| Medicare Enrollment ID | O20240322001305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265198766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | George Carl Waldenmayer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093249146 PECOS PAC ID: 1456798784 Enrollment ID: I20240322001495 |
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