| Main Line Therapy Solutions, Llc | |
|
600 Haverford Rd Suite G104 Haverford PA 19041-1139 | |
| (610) 649-6344 | |
| (610) 649-6930 |
| Full Name | Main Line Therapy Solutions, Llc |
|---|---|
| Speciality | Counselor |
| Location | 600 Haverford Rd, Haverford, Pennsylvania |
| Authorized Official Name and Position | Janet L Siegel (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6106496344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Line Therapy Solutions, Llc 600 Haverford Rd Suite G104 Haverford PA 19041-1139 Ph: (610) 649-6344 | Main Line Therapy Solutions, Llc 600 Haverford Rd Suite G104 Haverford PA 19041-1139 Ph: (610) 649-6344 |
| NPI Number | 1386932366 |
|---|---|
| Provider Enumeration Date | 07/12/2011 |
| Last Update Date | 07/12/2011 |
| Medicare PECOS PAC ID | 2860782794 |
|---|---|
| Medicare Enrollment ID | O20160606002423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386932366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kaitlin T Wenger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457665929 PECOS PAC ID: 8426244278 Enrollment ID: I20101119000323 |
| Provider Name | Valerie Vitale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598195851 PECOS PAC ID: 2264741677 Enrollment ID: I20151027000654 |
| Provider Name | Patrick Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366794950 PECOS PAC ID: 6002181286 Enrollment ID: I20171016000148 |
| Provider Name | Teresa L Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912120510 PECOS PAC ID: 2860750338 Enrollment ID: I20171212000222 |
| Provider Name | Anna G Lipshutz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932279601 PECOS PAC ID: 1557651486 Enrollment ID: I20180914001920 |
| Provider Name | Ashlyn Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619432309 PECOS PAC ID: 6901146414 Enrollment ID: I20190320001506 |
| Provider Name | Natalie Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053940809 PECOS PAC ID: 2466882840 Enrollment ID: I20200427001366 |
| Provider Name | Jeannette Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174153480 PECOS PAC ID: 1951791011 Enrollment ID: I20211203000200 |
| Provider Name | Alexandra Roscigno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518513514 PECOS PAC ID: 6901277250 Enrollment ID: I20230124001072 |
| Provider Name | Lisa Schneller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689824054 PECOS PAC ID: 7911364229 Enrollment ID: I20230601000335 |
| Provider Name | Katrina Selverian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194412676 PECOS PAC ID: 7618322827 Enrollment ID: I20231009000613 |
| Provider Name | Jodi Houlon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255814141 PECOS PAC ID: 9739523671 Enrollment ID: I20240219001931 |
| Provider Name | Marjeta Kane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720552326 PECOS PAC ID: 3779961909 Enrollment ID: I20241003002433 |
| Provider Name | Anne E Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013689231 PECOS PAC ID: 3072035914 Enrollment ID: I20250319004137 |
| Provider Name | Amy Kesslick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891268025 PECOS PAC ID: 5698293504 Enrollment ID: I20250514003645 |
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Main Line Therapy Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Haverford Rd Ste G104, Haverford, PA 19041 Phone: 610-649-6344 | |
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