| Bleu Reign Therapeutic Services, Llc | |
|
2698 George Street Harrisburg PA 17109 | |
| (717) 287-8791 | |
| Not Available |
| Full Name | Bleu Reign Therapeutic Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2698 George Street, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Camilla Williams (OFFICE MANAGER) |
| Authorized Official Contact | 2679018612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bleu Reign Therapeutic Services, Llc 3915 Union Deposit Rd Ste 435 Harrisburg PA 17109-5922 Ph: (717) 287-8791 | Bleu Reign Therapeutic Services, Llc 2698 George Street Harrisburg PA 17109 Ph: (717) 287-8791 |
| NPI Number | 1437926169 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/04/2023 |
| Certification Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437926169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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