Pac Center of Healing and Wellness, LLC
NPI 1104475953ActiveOrganization· Counselor, Professional· York, PA
Counselor, Professional in York, Pennsylvania, registered in NPPES in September 2019. The authorized official on file is Kim Jane Sanders, MA, LPC, President/Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104475953 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 4, 2019 |
| Last updated in NPPES | Jan 13, 2025 |
| Certified by provider | Jan 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
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