| Lebanon Valley Counseling Llc | |
|
1718 Grace Ave Lebanon PA 17046-1507 | |
| (717) 926-0444 | |
| Not Available |
| Full Name | Lebanon Valley Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1718 Grace Ave, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Jessica Marks (OWNER) |
| Authorized Official Contact | 7179260444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebanon Valley Counseling Llc 4548 Route 419 Womelsdorf PA 19567-8000 Ph: (717) 926-0444 | Lebanon Valley Counseling Llc 1718 Grace Ave Lebanon PA 17046-1507 Ph: (717) 926-0444 |
| NPI Number | 1659007292 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 11/01/2022 |
| Certification Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659007292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Pennsylvania Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N 7th St, Lebanon, PA 17046 Phone: 717-273-1710 Fax: 717-273-1416 | |
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