| Lake Erie Counseling Inc | |
|
301 West 10th Street Erie PA 16502-1440 | |
| (814) 455-4009 | |
| (814) 455-7715 |
| Full Name | Lake Erie Counseling Inc |
|---|---|
| Speciality | Social Worker |
| Location | 301 West 10th Street, Erie, Pennsylvania |
| Authorized Official Name and Position | Dale Anthony Allgeier (PRESIDENT) |
| Authorized Official Contact | 8144554009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Erie Counseling Inc 301 West 10th Street Erie PA 16502-1440 Ph: (814) 455-4009 | Lake Erie Counseling Inc 301 West 10th Street Erie PA 16502-1440 Ph: (814) 455-4009 |
| NPI Number | 1598829616 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 07/10/2015 |
| Medicare PECOS PAC ID | 3274571336 |
|---|---|
| Medicare Enrollment ID | O20050419001325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598829616 | NPI | - | NPPES |
| Provider Name | Dale A Allgeier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710041843 PECOS PAC ID: 1254379324 Enrollment ID: I20050420000309 |
| Provider Name | Nicole M Defranco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750418497 PECOS PAC ID: 4284644618 Enrollment ID: I20060501000396 |
| Provider Name | Drew R Himes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851062319 PECOS PAC ID: 9739567850 Enrollment ID: I20220602000152 |
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