| Northeast Counseling Services | |
|
120 E 3rd St # R Berwick PA 18603-3726 | |
| (570) 759-7855 | |
| Not Available |
| Full Name | Northeast Counseling Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 120 E 3rd St # R, Berwick, Pennsylvania |
| Authorized Official Name and Position | Ed Abdo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 57073575090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Counseling Services 130 W Washington St Nanticoke PA 18634-3113 Ph: (570) 735-7590 | Northeast Counseling Services 120 E 3rd St # R Berwick PA 18603-3726 Ph: (570) 759-7855 |
| NPI Number | 1356518666 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356518666 | NPI | - | NPPES |
| 100761571 | Medicaid | PA | |
| 1007615710044 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 100761571 (Pennsylvania) | Primary |
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