| Behavioral Wellness Group | |
|
1819 Main St # A Blakely PA 18447-1351 | |
| (570) 780-6558 | |
| Not Available |
| Full Name | Behavioral Wellness Group |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1819 Main St # A, Blakely, Pennsylvania |
| Authorized Official Name and Position | Phillip John Prall (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5707806558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Wellness Group 1819 Main St # A Blakely PA 18447-1351 Ph: (570) 780-6558 | Behavioral Wellness Group 1819 Main St # A Blakely PA 18447-1351 Ph: (570) 780-6558 |
| NPI Number | 1073387486 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073387486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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