| Hermitage House Youth Services, Inc | |
|
25493 State Highway 99 Cambridge Springs PA 16403-2329 | |
| (814) 734-4951 | |
| Not Available |
| Full Name | Hermitage House Youth Services, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 25493 State Highway 99, Cambridge Springs, Pennsylvania |
| Authorized Official Name and Position | Michael Ickes (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 8147344951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hermitage House Youth Services, Inc 25493 State Highway 99 Cambridge Springs PA 16403-2329 Ph: (814) 734-4951 | Hermitage House Youth Services, Inc 25493 State Highway 99 Cambridge Springs PA 16403-2329 Ph: (814) 734-4951 |
| NPI Number | 1043859663 |
|---|---|
| Provider Enumeration Date | 12/30/2019 |
| Last Update Date | 12/30/2019 |
| Certification Date | 12/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043859663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Nicole L. Fies Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 S Main St, Cambridge Springs, PA 16403 Phone: 814-573-0993 | |
Counseling Corner Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 S Main St, Cambridge Springs, PA 16403 Phone: 814-573-0993 Fax: 814-398-1019 |