| Listening Space Llc | |
|
132 S 15th St Easton PA 18042-4041 | |
| (484) 403-0374 | |
| Not Available |
| Full Name | Listening Space Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 132 S 15th St, Easton, Pennsylvania |
| Authorized Official Name and Position | Jasmine A Berger (OWNER/LPC) |
| Authorized Official Contact | 4844030374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Listening Space Llc 132 S 15th St Easton PA 18042-4041 Ph: (484) 403-0374 | Listening Space Llc 132 S 15th St Easton PA 18042-4041 Ph: (484) 403-0374 |
| NPI Number | 1962156893 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Medicare PECOS PAC ID | 1759721996 |
|---|---|
| Medicare Enrollment ID | O20240503003350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962156893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jasmine Amanda Berger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992385116 PECOS PAC ID: 2668812801 Enrollment ID: I20240503003384 |
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