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539 Center St Bethlehem PA 18018-5910 | |
| (610) 737-6507 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 539 Center St, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Melinda Nabors Davenport (PRESIDENT) |
| Authorized Official Contact | 6107376507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7162 Scenic View Dr Macungie PA 18062-2126 Ph: (610) 737-6507 | 539 Center St Bethlehem PA 18018-5910 Ph: (610) 737-6507 |
| NPI Number | 1316236391 |
|---|---|
| Provider Enumeration Date | 03/30/2011 |
| Last Update Date | 03/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316236391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC000979 (Pennsylvania) | Primary |
| 1041C0700X | Social Worker - Clinical | CW002402L (Pennsylvania) | Secondary |
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