Healing Room Inc. | |
2023 Cato Ave Suite 101 State College PA 16801-2765 | |
(814) 599-4124 | |
Not Available |
Full Name | Healing Room Inc. |
---|---|
Speciality | Social Worker - Clinical |
Location | 2023 Cato Ave, State College, Pennsylvania |
Authorized Official Name and Position | Katherine Gates-moore (CO-OWNER) |
Authorized Official Contact | 8145994124 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Healing Room Inc. 2023 Cato Ave Suite 101 State College PA 16801-2765 Ph: (814) 599-4124 | Healing Room Inc. 2023 Cato Ave Suite 101 State College PA 16801-2765 Ph: (814) 599-4124 |
NPI Number | 1033501523 |
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Provider Enumeration Date | 02/20/2015 |
Last Update Date | 03/02/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033501523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC006863 (Pennsylvania) | Secondary |
1041C0700X | Social Worker - Clinical | CW017193 (Pennsylvania) | Primary |
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