| Beyond Counseling Center, Llc | |
|
16 Sherwood Drive Suite C Bloomsburg PA 17815-3086 | |
| (570) 204-4028 | |
| (570) 445-2214 |
| Full Name | Beyond Counseling Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 16 Sherwood Drive, Bloomsburg, Pennsylvania |
| Authorized Official Name and Position | Pamela Rose Cosper (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5702044028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Counseling Center, Llc 16 Sherwood Drive Suite C Bloomsburg PA 17815-3086 Ph: (570) 204-4028 | Beyond Counseling Center, Llc 16 Sherwood Drive Suite C Bloomsburg PA 17815-3086 Ph: (570) 204-4028 |
| NPI Number | 1235625716 |
|---|---|
| Provider Enumeration Date | 07/08/2018 |
| Last Update Date | 04/29/2019 |
| Medicare PECOS PAC ID | 8729338660 |
|---|---|
| Medicare Enrollment ID | O20180913002290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235625716 | NPI | - | NPPES |
| 1035723800001 | Medicaid | PA | |
| 0019468810006 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW018964 (Pennsylvania) | Primary |
| Provider Name | Pamela Rose Cosper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740669183 PECOS PAC ID: 9638429574 Enrollment ID: I20180928002116 |
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