| Philhaven | |
|
283 S Butler Rd Lebanon PA 17042-8939 | |
| (717) 270-2425 | |
| Not Available |
| Full Name | Philhaven |
|---|---|
| Speciality | Clinic/center |
| Location | 283 S Butler Rd, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Mantha Kotsalos (VP & PRESIDENT PHILHAVEN) |
| Authorized Official Contact | 7172702423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philhaven 601 Memory Ln York PA 17402-2231 Ph: (717) 851-1405 | Philhaven 283 S Butler Rd Lebanon PA 17042-8939 Ph: (717) 270-2425 |
| NPI Number | 1508081639 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508081639 | NPI | - | NPPES |
| 1007720000120 | Medicaid | PA | |
| 1007720000147 | Medicaid | PA | |
| 1007720000148 | Medicaid | PA | |
| 1007720000150 | Medicaid | PA | |
| 1007720000123 | Medicaid | PA | |
| 1007720000144 | Medicaid | PA | |
| 1007720000149 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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T. W. Ponessa And Associates Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E. Evergreen Road, Lebanon, PA 17042 Phone: 717-560-7917 Fax: 717-560-6452 | |
Pennsylvania Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N 7th St, Lebanon, PA 17046 Phone: 717-273-1710 Fax: 717-273-1416 | |
Philhaven Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-270-2443 | |
Pennsylvania Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N 7th St, Lebanon, PA 17046 Phone: 717-272-5464 Fax: 717-376-1712 | |
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Pennsylvania Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N 7th St, Lebanon, PA 17046 Phone: 717-273-1710 Fax: 717-273-1416 |