| Liza Greville Lcsw, Llc | |
|
226 Chestnut St Kane PA 16735-1659 | |
| (814) 389-8436 | |
| Not Available |
| Full Name | Liza Greville Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 226 Chestnut St, Kane, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Greville (SOLE OWNER) |
| Authorized Official Contact | 8143898436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liza Greville Lcsw, Llc 226 Chestnut St Ste 215 Kane PA 16735-1659 Ph: (814) 389-8436 | Liza Greville Lcsw, Llc 226 Chestnut St Kane PA 16735-1659 Ph: (814) 389-8436 |
| NPI Number | 1023576741 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023576741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Jennifer Moore, Lcsw Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Field St, Kane, PA 16735 Phone: 814-561-1028 |