| Avis Behavioral Health | |
|
302 West Central Ave. Avis PA 17721-1070 | |
| (570) 753-3620 | |
| (570) 753-3620 |
| Full Name | Avis Behavioral Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 302 West Central Ave., Avis, Pennsylvania |
| Authorized Official Name and Position | Patricia Ann Dershem (PRESIDENT OWNER PSYCHOTHERAPIST) |
| Authorized Official Contact | 5707533620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avis Behavioral Health 302 West Central Ave. Po Box 1070 Avis PA 17721-1070 Ph: (570) 753-3620 | Avis Behavioral Health 302 West Central Ave. Avis PA 17721-1070 Ph: (570) 753-3620 |
| NPI Number | 1932112174 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932112174 | NPI | - | NPPES |
| 817938 | Other | PA | FIRST PRIORITY HEALTH |
| 1617662 | Other | PA | HIGHMARK BC/BS |
| 2117726 | Other | PA | CIGNA/GEISINGER |
| 474483 | Other | PA | VALUE OPTIONS |
| 083604 | Other | PA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW008439L (Pennsylvania) | Primary |
Neshamah Bread & Roses Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 W Central Ave, Avis, PA 17721 Phone: 570-377-0090 |