| Gena Patackas Lpc | |
|
1005 Main St Ste 3 Peckville PA 18452-2166 | |
| (570) 382-3122 | |
| Not Available |
| Full Name | Gena Patackas Lpc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1005 Main St Ste 3, Peckville, Pennsylvania |
| Authorized Official Name and Position | Eugena Therese Patackas (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5703823122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gena Patackas Lpc 1005 Main St Ste 3 Peckville PA 18452-2166 Ph: (570) 382-3122 | Gena Patackas Lpc 1005 Main St Ste 3 Peckville PA 18452-2166 Ph: (570) 382-3122 |
| NPI Number | 1497590491 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Certification Date | 06/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497590491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Legg Counseling & Consulting Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1418 Main St, Peckville, PA 18452 Phone: 570-489-4357 | |
Electric City Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1418 Main St Ste 207, Peckville, PA 18452 Phone: 570-277-1123 |