| Behavioral Healthcare Corporation | |
|
822 Marietta Ave Lancaster PA 17603-3239 | |
| (717) 399-8288 | |
| (717) 399-8968 |
| Full Name | Behavioral Healthcare Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 822 Marietta Ave, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Eric H Eshleman (CEO) |
| Authorized Official Contact | 7173998288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Healthcare Corporation 822 Marietta Ave Lancaster PA 17603-3239 Ph: (717) 399-8288 | Behavioral Healthcare Corporation 822 Marietta Ave Lancaster PA 17603-3239 Ph: (717) 399-8288 |
| NPI Number | 1992919476 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 09/26/2007 |
| Medicare PECOS PAC ID | 1456448851 |
|---|---|
| Medicare Enrollment ID | O20071101000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992919476 | NPI | - | NPPES |
| 1066422070002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 323720 (Pennsylvania) | Primary |
| Provider Name | Charlene K Eshleman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1437372349 PECOS PAC ID: 6002714250 Enrollment ID: I20031224000009 |
| Provider Name | Douglas A Ockrymiek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194761015 PECOS PAC ID: 4082689427 Enrollment ID: I20050224000552 |
| Provider Name | Yury Yaroslavsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700810934 PECOS PAC ID: 7113930611 Enrollment ID: I20060731000294 |
| Provider Name | Erma I Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326478710 PECOS PAC ID: 0345471710 Enrollment ID: I20140327001874 |
| Provider Name | Debra A Hewes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033475009 PECOS PAC ID: 1254639990 Enrollment ID: I20160414000044 |
| Provider Name | Kali L Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255686176 PECOS PAC ID: 5193010080 Enrollment ID: I20160816002583 |
| Provider Name | Kimberly A Lovelock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164932083 PECOS PAC ID: 6002173937 Enrollment ID: I20171201001757 |
| Provider Name | Darryl Lucas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831106467 PECOS PAC ID: 7214479138 Enrollment ID: I20240606003868 |
| Provider Name | Mary Theresa King-linares |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699834895 PECOS PAC ID: 1658813571 Enrollment ID: I20240606003962 |
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