| Lifegrowth Marriage And Family Center | |
|
5 S Centre Ave Leesport PA 19533-8653 | |
| (484) 400-0445 | |
| Not Available |
| Full Name | Lifegrowth Marriage And Family Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5 S Centre Ave, Leesport, Pennsylvania |
| Authorized Official Name and Position | Giannina Katherine Reyes (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4844000445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifegrowth Marriage And Family Center 1750 Hampden Blvd Reading PA 19604-1604 Ph: (484) 400-0445 | Lifegrowth Marriage And Family Center 5 S Centre Ave Leesport PA 19533-8653 Ph: (484) 400-0445 |
| NPI Number | 1770047359 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 12/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770047359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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