| Open Door Professional Counseling, Llc | |
|
1819 Main St Fl 1 Blakely PA 18447-1351 | |
| (570) 677-2411 | |
| Not Available |
| Full Name | Open Door Professional Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1819 Main St Fl 1, Blakely, Pennsylvania |
| Authorized Official Name and Position | Alyson Flash (OWNER) |
| Authorized Official Contact | 5706772411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Door Professional Counseling, Llc 1819 Main St Fl 1 Blakely PA 18447-1351 Ph: (570) 677-2411 | Open Door Professional Counseling, Llc 1819 Main St Fl 1 Blakely PA 18447-1351 Ph: (570) 677-2411 |
| NPI Number | 1679352058 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679352058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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