| Forensic Counseling Associates Llc | |
|
1385 Pocono Blvd. Forensic Counseling Associates, Llc Mt. Pocono PA 18344 | |
| (570) 460-4379 | |
| (570) 421-3600 |
| Full Name | Forensic Counseling Associates Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1385 Pocono Blvd., Mt. Pocono, Pennsylvania |
| Authorized Official Name and Position | Lori Bertanzetti (OWNER) |
| Authorized Official Contact | 5704604379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forensic Counseling Associates Llc 1385 Pocono Blvd. Forensic Counseling Associates, Llc Mt. Pocono PA 18344 Ph: (570) 460-4379 | Forensic Counseling Associates Llc 1385 Pocono Blvd. Forensic Counseling Associates, Llc Mt. Pocono PA 18344 Ph: (570) 460-4379 |
| NPI Number | 1821304544 |
|---|---|
| Provider Enumeration Date | 08/19/2010 |
| Last Update Date | 07/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821304544 | NPI | - | NPPES |
| 102550736 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |