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Organization
INNERVISION THERAPY, LLC
Active
Organization
INNERVISION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY MCGINNIS CRNP (DIRECTOR)
(724) 834-0432
Entity
Organization
Contact information
Practice address
4000 HEMPFIELD PLAZA BLVD, SUITE 926, GREENSBURG, PA 15601-1483
(724) 834-0432
(724) 837-7385
Mailing address
4000 HEMPFIELD PLAZA BLVD, SUITE 926, GREENSBURG, PA 15601-1483
(724) 834-0432
(724) 837-7385
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SP008361
PA
101YM0800X
Mental Health Counselor
SP008361
PA
101YP2500X
Professional Counselor
SP008361
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP008361
PA
Other
Enumeration date
11/13/2007
Last updated
10/22/2008
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