| Blue Sky Mental Health Llc | |
|
32 Watts St Towanda PA 18848-1324 | |
| (570) 637-0918 | |
| Not Available |
| Full Name | Blue Sky Mental Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 32 Watts St, Towanda, Pennsylvania |
| Authorized Official Name and Position | Tammy A Mcadoo (CEO/THERAPIST) |
| Authorized Official Contact | 5706370918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Mental Health Llc 32 Watts St Towanda PA 18848-1324 Ph: (570) 637-0918 | Blue Sky Mental Health Llc 32 Watts St Towanda PA 18848-1324 Ph: (570) 637-0918 |
| NPI Number | 1184488348 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/26/2024 |
| Medicare PECOS PAC ID | 1759728215 |
|---|---|
| Medicare Enrollment ID | O20240320002543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184488348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tammy Mcadoo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982246492 PECOS PAC ID: 7416383682 Enrollment ID: I20200206001286 |
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