Provider Demographics
NPI:1487847968
Name:TRUENORTH WELLNESS SERVICES
Entity Type:Organization
Organization Name:TRUENORTH WELLNESS SERVICES
Other - Org Name:ADAMS-HANOVER COUNSELING SERVICES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:COORDINATOR OF MIS/NETWORKING
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:D
Authorized Official - Last Name:EYLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-632-4900
Mailing Address - Street 1:73 E FORREST AVE
Mailing Address - Street 2:SUITE 340
Mailing Address - City:SHREWSBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17361-1400
Mailing Address - Country:US
Mailing Address - Phone:717-235-0199
Mailing Address - Fax:717-235-0383
Practice Address - Street 1:625 W ELM AVE
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-5125
Practice Address - Country:US
Practice Address - Phone:717-632-4900
Practice Address - Fax:717-632-3657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA677039251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100744641Medicaid