| Guiding Star Psychiatric Services, P.c. | |
|
901 Coventry Dr Phillipsburg NJ 08865-1974 | |
| (610) 861-8836 | |
| Not Available |
| Full Name | Guiding Star Psychiatric Services, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 901 Coventry Dr, Phillipsburg, New Jersey |
| Authorized Official Name and Position | Benny Elizabeth Titus (PRESIDENT) |
| Authorized Official Contact | 6108618836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Star Psychiatric Services, P.c. 1 Tamzen Ter Washington NJ 07882-2484 Ph: (610) 861-8836 | Guiding Star Psychiatric Services, P.c. 901 Coventry Dr Phillipsburg NJ 08865-1974 Ph: (610) 861-8836 |
| NPI Number | 1689707044 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6608961941 |
|---|---|
| Medicare Enrollment ID | O20071002000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689707044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (New Jersey) | Primary |
| Provider Name | Benny E Titus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316923683 PECOS PAC ID: 7214924562 Enrollment ID: I20040428000825 |
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