| Community Counseling Service Of Nepa | |
|
176 N Main St Shavertown PA 18708-1121 | |
| (570) 255-2082 | |
| (570) 674-8912 |
| Full Name | Community Counseling Service Of Nepa |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 176 N Main St, Shavertown, Pennsylvania |
| Authorized Official Name and Position | Paula Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Service Of Nepa 562 Wyoming Ave Kingston PA 18704-3721 Ph: (570) 552-3700 | Community Counseling Service Of Nepa 176 N Main St Shavertown PA 18708-1121 Ph: (570) 255-2082 |
| NPI Number | 1235365131 |
|---|---|
| Provider Enumeration Date | 06/05/2009 |
| Last Update Date | 04/26/2021 |
| Certification Date | 04/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235365131 | NPI | - | NPPES |
| 1022885770011 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 222490 (Pennsylvania) | Primary |
Brighter Visions Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1846 Memorial Hwy, Shavertown, PA 18708 Phone: 570-817-8532 | |
Valor Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1846 Memorial Hwy, Suite 3, Shavertown, PA 18708 Phone: 570-255-5503 Fax: 570-255-5509 |