| Northeastern Counseling Services | |
|
5021 E Trindle Rd Mechanicsburg PA 17050-3528 | |
| (717) 406-5190 | |
| Not Available |
| Full Name | Northeastern Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 5021 E Trindle Rd, Mechanicsburg, Pennsylvania |
| Authorized Official Name and Position | Nicole Woods (OWNER) |
| Authorized Official Contact | 7174065190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Counseling Services 1777 Autumnwood Dr Mechanicsburg PA 17055-5197 Ph: () - | Northeastern Counseling Services 5021 E Trindle Rd Mechanicsburg PA 17050-3528 Ph: (717) 406-5190 |
| NPI Number | 1760726327 |
|---|---|
| Provider Enumeration Date | 11/20/2012 |
| Last Update Date | 11/20/2012 |
| Medicare PECOS PAC ID | 8426276122 |
|---|---|
| Medicare Enrollment ID | O20140821000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760726327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW017433 (Pennsylvania) | Primary |
| Provider Name | Nicole M Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619104023 PECOS PAC ID: 3476771189 Enrollment ID: I20140821001271 |
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