| Comprehensive Behavioral Health Support Llc | |
|
260 Reitz Blvd Ste 1b Lewisburg PA 17837-9220 | |
| (570) 880-0005 | |
| Not Available |
| Full Name | Comprehensive Behavioral Health Support Llc |
|---|---|
| Speciality | Social Worker |
| Location | 260 Reitz Blvd Ste 1b, Lewisburg, Pennsylvania |
| Authorized Official Name and Position | Stephanie Louise Rushton (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5708800005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Behavioral Health Support Llc 260 Reitz Blvd Ste 1b Lewisburg PA 17837-9220 Ph: (570) 880-0005 | Comprehensive Behavioral Health Support Llc 260 Reitz Blvd Ste 1b Lewisburg PA 17837-9220 Ph: (570) 880-0005 |
| NPI Number | 1831860915 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/04/2021 |
| Medicare PECOS PAC ID | 9133527823 |
|---|---|
| Medicare Enrollment ID | O20211011002060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831860915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stephanie Rushton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689835704 PECOS PAC ID: 2062697923 Enrollment ID: I20110420000095 |
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