MEDICARE: H.S.A. COUNSELING, INC.

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	251S00000X	Community/Behavioral Health Agency	367021	PA
2	261Q00000X	Clinic/Center	367021	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952473837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H.S.A. COUNSELING, INC.

Provider Business Mailing Address
First Line	:	PO BOX M
Second Line	:
City	:	MIFFLIN
State	:	PA
Zip	:	17058-0913
Country	:	US
Telephone Number	:	717-394-5334
Fax Number	:	717-436-9818

Provider Business Practice Location Address
First Line	:	321 NORTH MARKET STREET
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-3816
Country	:	US
Telephone Number	:	717-394-5334
Fax Number	:	717-394-8747

Authorized Official
Title or Position	:	CEO
Name	:	MR. MICHAEL SHAWN BRYAN SR.
Credential	:	B.A.
Telephone Number	:	717-394-5334

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	12/15/2014

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