| Gillum Psychological & Counseling Services | |
|
454 Pine St Suite 1b Williamsport PA 17701-6200 | |
| (570) 321-6390 | |
| (570) 321-6393 |
| Full Name | Gillum Psychological & Counseling Services |
|---|---|
| Speciality | Psychologist |
| Location | 454 Pine St, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Michael W. Gillum (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5703216390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gillum Psychological & Counseling Services 454 Pine St Suite 1b Williamsport PA 17701-6200 Ph: (570) 321-6390 | Gillum Psychological & Counseling Services 454 Pine St Suite 1b Williamsport PA 17701-6200 Ph: (570) 321-6390 |
| NPI Number | 1891115119 |
|---|---|
| Provider Enumeration Date | 04/25/2014 |
| Last Update Date | 04/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891115119 | NPI | - | NPPES |
| 1028463370001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS007825L (Pennsylvania) | Primary |
| 104100000X | Social Worker | SW129735 (Pennsylvania) | Secondary |
Gillum Psychological & Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 454 Pine St, Suite 1b, Williamsport, PA 17701 Phone: 570-321-6390 Fax: 570-321-6393 | |
Crossroads Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 East Third Street, Williamsport, PA 17701 Phone: 570-323-7535 Fax: 570-323-3790 | |
Lawrence M Satifka Ma Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Pine St Ste 400, Williamsport, PA 17701 Phone: 570-772-3090 Fax: 570-300-2371 | |
L.c.c.c.s Children's Development Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 W Edwin St, Williamsport, PA 17701 Phone: 570-326-0565 Fax: 570-329-2522 | |
Diakon Family Life Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026 | |
Williamsport Psychological Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 Market St, Williamsport, PA 17701 Phone: 570-322-2603 Fax: 570-322-4208 | |
Diakon Child,family&community Ministries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Loyalsock Dr, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026 |