| Kennedy Counseling | |
|
1310 Sunny Ayr Way Lansdale PA 19446-5120 | |
| (215) 896-2259 | |
| Not Available |
| Full Name | Kennedy Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 1310 Sunny Ayr Way, Lansdale, Pennsylvania |
| Authorized Official Name and Position | Conor J Kennedy (OWNER) |
| Authorized Official Contact | 1589622592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Counseling 1310 Sunny Ayr Way Lansdale PA 19446-5120 Ph: (215) 896-2259 | Kennedy Counseling 1310 Sunny Ayr Way Lansdale PA 19446-5120 Ph: (215) 896-2259 |
| NPI Number | 1639789753 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 08/04/2020 |
| Certification Date | 08/04/2020 |
| Medicare PECOS PAC ID | 8729489315 |
|---|---|
| Medicare Enrollment ID | O20210702002442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639789753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Conor J Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831683606 PECOS PAC ID: 0446662720 Enrollment ID: I20201210000163 |
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