| Holli Caine Llc | |
|
3 Main Street Wyalusing PA 18853 | |
| (570) 746-6003 | |
| Not Available |
| Full Name | Holli Caine Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3 Main Street, Wyalusing, Pennsylvania |
| Authorized Official Name and Position | Holli Lynn Caine (OWNER) |
| Authorized Official Contact | 5707466003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holli Caine Llc Po Box 174 Wyalusing PA 18853-0174 Ph: (570) 746-6003 | Holli Caine Llc 3 Main Street Wyalusing PA 18853 Ph: (570) 746-6003 |
| NPI Number | 1881108330 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881108330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | SW011475L (Pennsylvania) | Primary |
Concern-professional Services For Children, Youth & Families Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11450 Wyalusing New Albany Rd, Wyalusing, PA 18853 Phone: 570-268-3073 | |
Concern-professional Services For Children, Youth & Families Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11364 Wyalusing New Albany Rd, Wyalusing, PA 18853 Phone: 570-268-3073 |