| Northern Tier Counseling, Inc | |
|
24727 Route 6 Towanda PA 18848-8257 | |
| (570) 265-0100 | |
| (570) 268-2756 |
| Full Name | Northern Tier Counseling, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 24727 Route 6, Towanda, Pennsylvania |
| Authorized Official Name and Position | Paul Denault (CEO) |
| Authorized Official Contact | 5702650100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Tier Counseling, Inc 24727 Route 6 Suite 2 Towanda PA 18848-8257 Ph: (570) 265-0100 | Northern Tier Counseling, Inc 24727 Route 6 Towanda PA 18848-8257 Ph: (570) 265-0100 |
| NPI Number | 1881728194 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 12/16/2020 |
| Certification Date | 12/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881728194 | NPI | - | NPPES |
| 000753722 | Other | PA | HIGHMARK ID#-PSYCHIATRY |
| 1007540580103 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 221030 (Pennsylvania) | Primary |
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