| Glade Run Lutheran Services | |
|
Beaver Road Zelienople PA 16063-0070 | |
| (724) 452-4453 | |
| (724) 452-6576 |
| Full Name | Glade Run Lutheran Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | Beaver Road, Zelienople, Pennsylvania |
| Authorized Official Name and Position | Charles T Lockwood (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7244524453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glade Run Lutheran Services Po Box 70 Zelienople PA 16063-0070 Ph: (724) 452-4453 | Glade Run Lutheran Services Beaver Road Zelienople PA 16063-0070 Ph: (724) 452-4453 |
| NPI Number | 1700941515 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700941515 | NPI | - | NPPES |
| 100754254-0027 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 411560 (Pennsylvania) | Primary |
Glade Run Lutheran Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Beaver Road, Zelienople, PA 16063 Phone: 724-452-4453 Fax: 724-452-6576 | |
Glade Run Lutheran Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Beaver Road, Zelienople, PA 16063 Phone: 724-452-4453 Fax: 724-452-6576 | |
R.a.nye, Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 S High St, Zelienople, PA 16063 Phone: 724-674-2068 | |
Restore Balance And Wellness Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 S High St, Zelienople, PA 16063 Phone: 443-783-6920 | |
Glade Run Lutheran Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Beaver Road, Zelienople, PA 16063 Phone: 724-452-4453 Fax: 724-452-6576 | |
Ancora Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 S High St, Zelienople, PA 16063 Phone: 724-674-2068 Fax: 724-871-3288 | |
Glade Run Lutheran Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Beaver Road, Zelienople, PA 16063 Phone: 724-452-4453 Fax: 724-452-6576 |