| Peace Of Mind, Nepa, Llc | |
|
1201 S Main St Rear Old Forge PA 18518-2365 | |
| (570) 499-4290 | |
| (570) 457-4747 |
| Full Name | Peace Of Mind, Nepa, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1201 S Main St Rear, Old Forge, Pennsylvania |
| Authorized Official Name and Position | Lisa Kossuth (OWNER) |
| Authorized Official Contact | 5704574747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind, Nepa, Llc 1201 S Main St Rear Old Forge PA 18518-2365 Ph: (570) 457-4747 | Peace Of Mind, Nepa, Llc 1201 S Main St Rear Old Forge PA 18518-2365 Ph: (570) 499-4290 |
| NPI Number | 1619552726 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 03/20/2021 |
| Certification Date | 03/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619552726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Amy Rogers, Ma, Lpc,ncc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Moosic Rd, Old Forge, PA 18518 Phone: 570-604-4393 |