| Birch Light Perspective Llc | |
|
529 Seven Bridge Rd Unit 114 East Stroudsburg PA 18301-7608 | |
| (646) 634-3983 | |
| Not Available |
| Full Name | Birch Light Perspective Llc |
|---|---|
| Speciality | Social Worker |
| Location | 529 Seven Bridge Rd Unit 114, East Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Kerry-ann Barrett (OWNER) |
| Authorized Official Contact | 6466343983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Birch Light Perspective Llc 529 Seven Bridge Rd Unit 114 East Stroudsburg PA 18301-7608 Ph: (646) 634-3983 | Birch Light Perspective Llc 529 Seven Bridge Rd Unit 114 East Stroudsburg PA 18301-7608 Ph: (646) 634-3983 |
| NPI Number | 1841754504 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Medicare PECOS PAC ID | 6305185422 |
|---|---|
| Medicare Enrollment ID | O20190306002561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841754504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Kerry-ann Kemisha Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477892842 PECOS PAC ID: 2264794387 Enrollment ID: I20180329000144 |
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