| Grasta Counseling Services, Llc | |
|
321 Biden St Ste 502 Scranton PA 18503-1445 | |
| (570) 209-8946 | |
| (570) 276-3797 |
| Full Name | Grasta Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 321 Biden St Ste 502, Scranton, Pennsylvania |
| Authorized Official Name and Position | Margaret M Mahoney (COUNSELOR) |
| Authorized Official Contact | 3203004811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grasta Counseling Services, Llc 321 Biden St Ste 502 Scranton PA 18503-1445 Ph: (570) 209-8946 | Grasta Counseling Services, Llc 321 Biden St Ste 502 Scranton PA 18503-1445 Ph: (570) 209-8946 |
| NPI Number | 1780291062 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Medicare PECOS PAC ID | 3173973385 |
|---|---|
| Medicare Enrollment ID | O20240102000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780291062 | NPI | - | NPPES |
| 7094926 | Other | PA | STATE IDENTITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Margaret Mary Mahoney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386035608 PECOS PAC ID: 4082064290 Enrollment ID: I20240102000406 |
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