| Laura Moore Counseling Services Llc | |
|
447 Broad St New Bethlehem PA 16242-1102 | |
| (814) 275-6611 | |
| Not Available |
| Full Name | Laura Moore Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 447 Broad St, New Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Laura Moore (OWNER) |
| Authorized Official Contact | 8142756611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Moore Counseling Services Llc 447 Broad St New Bethlehem PA 16242-1102 Ph: (814) 275-6611 | Laura Moore Counseling Services Llc 447 Broad St New Bethlehem PA 16242-1102 Ph: (814) 275-6611 |
| NPI Number | 1659882587 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Medicare PECOS PAC ID | 0244680650 |
|---|---|
| Medicare Enrollment ID | O20231228000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659882587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC005040 (Pennsylvania) | Primary |
| Provider Name | Laura Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609221423 PECOS PAC ID: 1153771563 Enrollment ID: I20231228000120 |
The Spero Group, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 225 Water St, New Bethlehem, PA 16242 Phone: 412-445-5261 |