| Cole Memorial Proffesional Behavioral Health | |
|
1001 E 2nd St Coudersport PA 16915-8161 | |
| (814) 274-9198 | |
| Not Available |
| Full Name | Cole Memorial Proffesional Behavioral Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1001 E 2nd St, Coudersport, Pennsylvania |
| Authorized Official Name and Position | Ed Pitchford (PRESIDENT) |
| Authorized Official Contact | 8142745216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cole Memorial Proffesional Behavioral Health 1001 E 2nd St Coudersport PA 16915-8161 Ph: () - | Cole Memorial Proffesional Behavioral Health 1001 E 2nd St Coudersport PA 16915-8161 Ph: (814) 274-9198 |
| NPI Number | 1831322627 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 03/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831322627 | NPI | - | NPPES |
| 002121109 | Other | PA | HIGHMARK BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Charles Cole Memorial Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9300 | |
Charles Cole Memorial Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9301 Fax: 814-274-7085 | |
Concern-professional Services For Children, Youth & Families Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 269 Route 6 W Rm 2, Coudersport, PA 16915 Phone: 570-724-7142 | |
Western New York Med-psych Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 800-324-8820 |