MEDICARE: DENISE GARVER, MA, NCC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1255021176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENISE GARVER, MA, NCC, LPC

Provider Business Mailing Address
First Line	:	220 S MAIN ST
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-5987
Country	:	US
Telephone Number	:	724-841-2441
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 E MAIN STREET EXT STE 100
Second Line	:
City	:	GROVE CITY
State	:	PA
Zip	:	16127-6378
Country	:	US
Telephone Number	:	724-264-4011
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	MS. DENISE RENEE GARVER
Credential	:	MA, NCC, LPC
Telephone Number	:	724-841-2441

Provider Enumeration Date	:	05/12/2023
Last Update Date	:	09/11/2023

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