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NPI Code Detail

MEDICARE: MOCK-MAYS ASSOCIATES

MEDICARE: MOCK-MAYS ASSOCIATES
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
1101YM0800XMental Health CounselorPA
2101YP1600XPastoral CounselorPA

General Provider Information

NPI Number : 1336131655
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOCK-MAYS ASSOCIATES
Provider Business Mailing Address
First Line : 47 W POMFRET ST
Second Line :
City : CARLISLE
State : PA
Zip : 17013-3217
Country : US
Telephone Number : 717-258-0214
Fax Number : 717-258-3158
Provider Business Practice Location Address
First Line : 47 W POMFRET ST
Second Line :
City : CARLISLE
State : PA
Zip : 17013-3217
Country : US
Telephone Number : 717-258-0214
Fax Number : 717-258-3158
Authorized Official
Title or Position : OWNER
Name : MRS. JERRY FIELDS MOCK
Credential : PH.D.
Telephone Number : 717-258-0214
Provider Enumeration Date : 08/22/2005
Last Update Date : 09/11/2025

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1306881743 — PAUL ANTHONY CLEMENTS L.C.S.W.
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Directions to “MOCK-MAYS ASSOCIATES ” Practice Location

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