Mount North, Llc | |
320 Beaver St Hastings PA 16646-5644 | |
(833) 668-6861 | |
Not Available |
Full Name | Mount North, Llc |
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Speciality | Social Worker - Clinical |
Location | 320 Beaver St, Hastings, Pennsylvania |
Authorized Official Name and Position | Shannon Beaver Derrick (OWNER) |
Authorized Official Contact | 8336686861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mount North, Llc Po Box 464 Hastings PA 16646-0464 Ph: (844) 668-6861 | Mount North, Llc 320 Beaver St Hastings PA 16646-5644 Ph: (833) 668-6861 |
NPI Number | 1801564802 |
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Provider Enumeration Date | 09/03/2021 |
Last Update Date | 06/07/2023 |
Certification Date | 06/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801564802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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