| Audax Counseling Services Inc. | |
|
1056 Route 390 Cresco PA 18326-7908 | |
| (570) 213-9139 | |
| Not Available |
| Full Name | Audax Counseling Services Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1056 Route 390, Cresco, Pennsylvania |
| Authorized Official Name and Position | Brittany Calderone (OWNER) |
| Authorized Official Contact | 5702139139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Audax Counseling Services Inc. 110 Wywamic Rd Cresco PA 18326-7453 Ph: (570) 213-9139 | Audax Counseling Services Inc. 1056 Route 390 Cresco PA 18326-7908 Ph: (570) 213-9139 |
| NPI Number | 1598427163 |
|---|---|
| Provider Enumeration Date | 10/11/2021 |
| Last Update Date | 10/11/2021 |
| Certification Date | 10/11/2021 |
| Medicare PECOS PAC ID | 6204376106 |
|---|---|
| Medicare Enrollment ID | O20240906000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598427163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Brittany Michelle Calderone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598241218 PECOS PAC ID: 7113467028 Enrollment ID: I20240906000284 |
Mountainhome Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1056 Route 390, Cresco, PA 18326 Phone: 570-213-9139 |