| Clover Leaf Counseling Center, Llc. | |
|
273 E 7th St Bloomsburg PA 17815-2853 | |
| (570) 507-7170 | |
| Not Available |
| Full Name | Clover Leaf Counseling Center, Llc. |
|---|---|
| Speciality | Social Worker |
| Location | 273 E 7th St, Bloomsburg, Pennsylvania |
| Authorized Official Name and Position | Kara Dianne Eberle- Jones (OWNER/ PROVIDER) |
| Authorized Official Contact | 5708474623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clover Leaf Counseling Center, Llc. 23 Clover Ln Danville PA 17821-7960 Ph: (570) 847-4623 | Clover Leaf Counseling Center, Llc. 273 E 7th St Bloomsburg PA 17815-2853 Ph: (570) 507-7170 |
| NPI Number | 1003539511 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 10/20/2022 |
| Certification Date | 10/20/2022 |
| Medicare PECOS PAC ID | 3971970930 |
|---|---|
| Medicare Enrollment ID | O20221103001156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003539511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kara Dianne Eberle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407138092 PECOS PAC ID: 5294155560 Enrollment ID: I20210203000956 |
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