| Nicole Venskytis, Llc | |
|
1 E Broad St Ste 130 Bethlehem PA 18018-5934 | |
| (484) 403-0373 | |
| Not Available |
| Full Name | Nicole Venskytis, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1 E Broad St Ste 130, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Nicole Venskytis (OWNER) |
| Authorized Official Contact | 4844030373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Venskytis, Llc 1744 Falcon Drive Unit N Bethlehem PA 18017 Ph: (717) 201-4427 | Nicole Venskytis, Llc 1 E Broad St Ste 130 Bethlehem PA 18018-5934 Ph: (484) 403-0373 |
| NPI Number | 1235723933 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 02/23/2021 |
| Certification Date | 02/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235723933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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