Divine Interactions Equine Facilitated Wellness, LLC
NPI #1932697422 in Apollo, Pennsylvania
Provider Information
- NPI Number
- 1932697422
- Entity Type
- Organization
- Organization Name
- Divine Interactions Equine Facilitated Wellness, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Apr 30, 2018
- Last Updated
- Apr 30, 2018
Practice Location
- Address
- 1719 QUARRY LANE
- City
- Apollo
- State
- Pennsylvania
- ZIP Code
- 15613
- Phone
- (724) 858-7204
Authorized Official
- Name
- SHANNA AUGHENBAUGH, MA, NCC, LPC, CCTP
- Title
- SOLE MEMBER
- Phone
- (724) 858-7204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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