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NPI Code Detail

MEDICARE: PURPOSEFULLY SOARING COUNSELING SERVICES LLC

MEDICARE: PURPOSEFULLY SOARING COUNSELING SERVICES LLC
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1386298404
Entity Type Code : Organization
Provider Name (Legal Business Name) : PURPOSEFULLY SOARING COUNSELING SERVICES LLC
Provider Business Mailing Address
First Line : 4512 BOLTON NOTCH PL
Second Line :
City : HARRISBURG
State : PA
Zip : 17110-3414
Country : US
Telephone Number : 717-400-1871
Fax Number : 717-814-5260
Provider Business Practice Location Address
First Line : 4755 LINGLESTOWN RD STE 206
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-8547
Country : US
Telephone Number : 717-400-1871
Fax Number : 717-814-5260
Authorized Official
Title or Position : LSW
Name : SHEILA L FORESTAL-GIBSON
Credential :
Telephone Number : 717-400-1871
Provider Enumeration Date : 07/26/2019
Last Update Date : 11/01/2024

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Directions to “PURPOSEFULLY SOARING COUNSELING SERVICES LLC ” Practice Location

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