| Family Life Services | |
|
1600 Fowler Ave Berwick PA 18603-1423 | |
| (570) 322-7873 | |
| (570) 322-8026 |
| Full Name | Family Life Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1600 Fowler Ave, Berwick, Pennsylvania |
| Authorized Official Name and Position | Rita A. Rousseau (EXECUTIVE DIRECTOR COS) |
| Authorized Official Contact | 7177950368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Life Services 435 W 4th St Williamsport PA 17701-6001 Ph: (570) 322-7873 | Family Life Services 1600 Fowler Ave Berwick PA 18603-1423 Ph: (570) 322-7873 |
| NPI Number | 1407892615 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407892615 | NPI | - | NPPES |
| 02319100 | Other | PA | CAPITAL BLUE CROSS |
| 301029 | Other | PA | VALUEOPTIONS |
| 1007777400038 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 356240 (Pennsylvania) | Primary |
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