DIVINE INTERACTIONS EQUINE FACILITATED WELLNESS, LLC (NPI# 1932697422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932697422 |
| Entity Type | Organization |
| Organization Name | DIVINE INTERACTIONS EQUINE FACILITATED WELLNESS, LLC |
| Practice Address |
1719 Quarry Lane Apollo PA 15613 |
| Mailing Address |
554 Pleasant View Dr Apollo PA 15613-9225 |
| Practice Telephone | 7248587204 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |
| Authorized Official Name | SHANNA AUGHENBAUGH (SOLE MEMBER) |
| Authorized Official Telephone | 7248587204 |
| Authorized Official Credential | MA, NCC, LPC, CC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
PC009805 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICENSED PROFESSIONAL COUNSELOR | 1891206850 | 01 |
| Street Address |
1719 QUARRY LANE |
| City | APOLLO |
| State | PA |
| Zip Code | 15613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710107917 | Howard L Cacco | Dentist | 4792 State Route 66, Apollo, PA 15613 | 2007-04-27 |
| 1184782252 | Robert N Obradovich Dmd LLC | Clinic/Center | 4430 Rt 66, Apollo, PA 15613 | 2006-12-04 |
| 1356421283 | John L Kautz | Dentist | 401 N Second St, Apollo, PA 15613 | 2006-10-16 |
| 1982621793 | Advacare Home Services Inc | Durable Medical Equipment & Medical Supplies | 4451 State Route 66, Apollo, PA 15613 | 2006-07-16 |
| 1649265174 | Scott T Weinel | Chiropractor | 599 First Street, Apollo, PA 15613-1142 | 2005-09-12 |
| 1497751002 | Kiski Valley Community Medicine, PC | Family Medicine | 310 S 2nd St, Apollo, PA 15613-1150 | 2005-06-28 |
| 1417274473 | Kiski Valley Community Medicine | Non-Pharmacy Dispensing Site | 310 S 2nd St, Apollo, PA 15613-1150 | 2010-04-29 |
| 1477742005 | Daniel J Kupas | Family Medicine | 310 S 2nd St, Apollo, PA 15613-1150 | 2007-10-19 |
| 1871644617 | Mark Andrew Nigra | Dentist | 324 N 4th St, Apollo, PA 15613-1212 | 2007-01-16 |
| 1902972292 | Ruth D Martin-pisarcik | Family Medicine | 311 N Second St, Apollo, PA 15613-1330 | 2006-11-28 |
| Find all providers in zip 15613 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DIVINE INTERACTIONS EQUINE FACILITATED WELLNESS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.