Organization
FULTON BEHAVIORAL HEALTH SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH T. GOTWALS MSW,LCSW,ACSW,QCSW (OWNER/ADMINISTRATOR)
(717) 485-6120
Entity
Organization
Contact information
Practice address
214 PEACH ORCHARD ROAD, MC CONNELLSBURG, PA 17233
(717) 485-6120
(717) 485-6106
Mailing address
214 PEACH ORCHARD ROAD, MC CONNELLSBURG, PA 17233
(717) 485-6120
(717) 485-6106
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018117730001
—
PA
05
—
1024376860001
—
PA
Enumeration date
09/23/2009
Last updated
08/10/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us