| Blair Family Solutions, Llc | |
|
705 12th St Altoona PA 16602-2419 | |
| (814) 944-9970 | |
| (814) 944-9974 |
| Full Name | Blair Family Solutions, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 705 12th St, Altoona, Pennsylvania |
| Authorized Official Name and Position | Robert Scott Lambert (PROPRIETOR/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8149449970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blair Family Solutions, Llc 1310 Valley View Blvd Altoona PA 16602-6080 Ph: (814) 944-9970 | Blair Family Solutions, Llc 705 12th St Altoona PA 16602-2419 Ph: (814) 944-9970 |
| NPI Number | 1720133218 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 12/08/2020 |
| Certification Date | 12/08/2020 |
| Medicare PECOS PAC ID | 7113111261 |
|---|---|
| Medicare Enrollment ID | O20101102001119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720133218 | NPI | - | NPPES |
| Provider Name | Mary Chirdon Frontino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972578805 PECOS PAC ID: 8921000480 Enrollment ID: I20070213000127 |
| Provider Name | Eugene F Polmueller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053692400 PECOS PAC ID: 6709051816 Enrollment ID: I20111219000169 |
| Provider Name | Kayla Rae Gongloff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942989215 PECOS PAC ID: 2668816752 Enrollment ID: I20240216001391 |
| Provider Name | Anjelique A Gorba |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790421931 PECOS PAC ID: 3072958131 Enrollment ID: I20240228001923 |
| Provider Name | Diana Kos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770855066 PECOS PAC ID: 8224473384 Enrollment ID: I20240228002003 |
| Provider Name | Ashley M Greslick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194369066 PECOS PAC ID: 0143665216 Enrollment ID: I20240228002363 |
| Provider Name | Esther S Auker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881211332 PECOS PAC ID: 4789029893 Enrollment ID: I20240228003924 |
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