Healthcare Provider Details

I. General information

NPI: 1982649414
Provider Name (Legal Business Name): PRESCRIPTIONS FOR ENLIGHTENING PATHS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 09/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 POPLAR CHURCH RD SUITE 410
CAMP HILL PA
17011-2250
US

IV. Provider business mailing address

890 POPLAR CHURCH RD SUITE 410
CAMP HILL PA
17011-2250
US

V. Phone/Fax

Practice location:
  • Phone: 717-303-0505
  • Fax: 717-303-0507
Mailing address:
  • Phone: 717-303-0505
  • Fax: 717-303-0507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License NumberMD059271-L
License Number StatePA

VIII. Authorized Official

Name: DR. JANIECE CHRISTINE ANDREWS
Title or Position: PRESIDENT/MEDICAL DIRECTOR
Credential: M.D.
Phone: 717-303-0505