Provider Demographics
NPI:1710345764
Name:DISCOVER HOPE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:DISCOVER HOPE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:DAYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:717-339-6377
Mailing Address - Street 1:40 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-8473
Mailing Address - Country:US
Mailing Address - Phone:717-339-6377
Mailing Address - Fax:
Practice Address - Street 1:2311 FAIRFIELD RD
Practice Address - Street 2:SUITE F1
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-6309
Practice Address - Country:US
Practice Address - Phone:717-339-6377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA886515328251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00000C3408Medicaid