| Revelations Counseling & Wellness | |
|
6500 Brooktree Rd Ste 210 Wexford PA 15090-9272 | |
| (724) 719-2669 | |
| Not Available |
| Full Name | Revelations Counseling & Wellness |
|---|---|
| Speciality | Counselor |
| Location | 6500 Brooktree Rd Ste 210, Wexford, Pennsylvania |
| Authorized Official Name and Position | Elisabeth Plutko (COO) |
| Authorized Official Contact | 7247192669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Revelations Counseling & Wellness 6500 Brooktree Rd Ste 210 Wexford PA 15090-9272 Ph: (724) 719-2669 | Revelations Counseling & Wellness 6500 Brooktree Rd Ste 210 Wexford PA 15090-9272 Ph: (724) 719-2669 |
| NPI Number | 1215764550 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 03/12/2025 |
| Certification Date | 03/12/2025 |
| Medicare PECOS PAC ID | 3274061791 |
|---|---|
| Medicare Enrollment ID | O20250113000831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215764550 | NPI | - | NPPES |
| 13905711 | Other | PA | PENNSYLVANIA DEPARTMENT OF STATE CORPORATE REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| Provider Name | Emily Annette Heyl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033561071 PECOS PAC ID: 5092150789 Enrollment ID: I20240305000058 |
| Provider Name | Stephen Ladislav Hagg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972329571 PECOS PAC ID: 0042749806 Enrollment ID: I20250123000380 |
| Provider Name | Carla Addison Higgins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548002355 PECOS PAC ID: 8527597178 Enrollment ID: I20250127000806 |
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