Organization
TWO TRAILS MENTAL HEALTH AND WELLNESS CENTER, LLC
Active
Other names
Dr. Danielle M. Mink
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE MARIE MINK PSY.D. (PRESIDENT)
(717) 856-0220
Entity
Organization
Contact information
Practice address
8638 ROUTE 104, SUITE 10, MOUNT PLEASANT MILLS, PA 17853-8752
(717) 856-0220
(717) 685-3242
Mailing address
560 KELLERVILLE RD, MC ALISTERVILLE, PA 17049-8580
(717) 856-0220
(717) 685-3242
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016911
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293713
CMS PTAN
PA
Enumeration date
02/17/2016
Last updated
03/23/2016
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