| Northeast Counseling Services | |
|
100 Rock Glen Rd Sugarloaf PA 18249 | |
| (570) 455-6385 | |
| Not Available |
| Full Name | Northeast Counseling Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 100 Rock Glen Rd, Sugarloaf, Pennsylvania |
| Authorized Official Name and Position | Ed Abdo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5707357590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Counseling Services 750 E Broad St Hazleton PA 18201-6835 Ph: (570) 455-6385 | Northeast Counseling Services 100 Rock Glen Rd Sugarloaf PA 18249 Ph: (570) 455-6385 |
| NPI Number | 1386080430 |
|---|---|
| Provider Enumeration Date | 05/16/2013 |
| Last Update Date | 05/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386080430 | NPI | - | NPPES |
| 1007615710004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Northeast Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Rock Glen Rd, Sugarloaf, PA 18249 Phone: 570-455-6385 |