| Pocono Behavioral Wellness, Llc | |
|
745 Main St Ste 204 Stroudsburg PA 18360-2060 | |
| (570) 994-2664 | |
| (570) 694-6694 |
| Full Name | Pocono Behavioral Wellness, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 745 Main St Ste 204, Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Eileen Brito (PSYCHOTHERAPIST/PRACTICE OWNER) |
| Authorized Official Contact | 5709942664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pocono Behavioral Wellness, Llc 745 Main St Ste 204 Stroudsburg PA 18360-2060 Ph: (570) 994-2664 | Pocono Behavioral Wellness, Llc 745 Main St Ste 204 Stroudsburg PA 18360-2060 Ph: (570) 994-2664 |
| NPI Number | 1558791863 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 12/06/2019 |
| Medicare PECOS PAC ID | 7416175377 |
|---|---|
| Medicare Enrollment ID | O20140906000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558791863 | NPI | - | NPPES |
| 361620 | Other | PA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Eileen Brito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457555724 PECOS PAC ID: 8628039203 Enrollment ID: I20080919000224 |
| Provider Name | Meghan Marie Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497186159 PECOS PAC ID: 4587098322 Enrollment ID: I20200102001631 |
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