Counseling & Wellness Center Of Scranton Llc | |
1021 Moosic St Scranton PA 18505-4550 | |
(570) 961-9355 | |
(570) 961-0782 |
Full Name | Counseling & Wellness Center Of Scranton Llc |
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Speciality | Counselor |
Location | 1021 Moosic St, Scranton, Pennsylvania |
Authorized Official Name and Position | Mary Helen Moran Yatko (OWNER) |
Authorized Official Contact | 5709619355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Counseling & Wellness Center Of Scranton Llc 1021 Moosic St Scranton PA 18505-4550 Ph: (570) 961-9355 | Counseling & Wellness Center Of Scranton Llc 1021 Moosic St Scranton PA 18505-4550 Ph: (570) 961-9355 |
NPI Number | 1992118111 |
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Provider Enumeration Date | 06/05/2014 |
Last Update Date | 06/05/2014 |
Medicare PECOS PAC ID | 3072900547 |
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Medicare Enrollment ID | O20220502001393 |
Identifier | Type | State | Issuer |
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1992118111 | NPI | - | NPPES |
819491 | Other | PA | FIRST PRIORITY HEALTH |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | PC002354 (Pennsylvania) | Primary |
Provider Name | Ellen Christa Knecht |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437605847 PECOS PAC ID: 0345582359 Enrollment ID: I20220502001442 |
Provider Name | William Daniel Mcandrew |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902156466 PECOS PAC ID: 1658735345 Enrollment ID: I20230913003827 |
Provider Name | Mary Helen Moran |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1720140254 PECOS PAC ID: 4981091451 Enrollment ID: I20240321001430 |
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