| Waves Of Hope, Llc | |
|
80 Smiley Rd Glen Campbell PA 15742-8611 | |
| (814) 935-9019 | |
| Not Available |
| Full Name | Waves Of Hope, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 80 Smiley Rd, Glen Campbell, Pennsylvania |
| Authorized Official Name and Position | Gina Hetrick (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8149359019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waves Of Hope, Llc 80 Smiley Rd Glen Campbell PA 15742-8611 Ph: (814) 935-9019 | Waves Of Hope, Llc 80 Smiley Rd Glen Campbell PA 15742-8611 Ph: (814) 935-9019 |
| NPI Number | 1285414953 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 04/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285414953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Waves Of Hope, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 80 Smiley Rd, Glen Campbell, PA 15742 Phone: 814-935-9019 |