Ltsr | |
810 Monongahela Ave Glassport PA 15045-1627 | |
(412) 738-3751 | |
Not Available |
Full Name | Ltsr |
---|---|
Speciality | Community/behavioral Health |
Location | 810 Monongahela Ave, Glassport, Pennsylvania |
Authorized Official Name and Position | Brian Matthew Rhodes (CEO) |
Authorized Official Contact | 2159510300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ltsr 4700 Wissahickon Ave Ste 126 Philadelphia PA 19144-4248 Ph: (215) 951-0300 | Ltsr 810 Monongahela Ave Glassport PA 15045-1627 Ph: (412) 738-3751 |
NPI Number | 1205324720 |
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Provider Enumeration Date | 04/30/2018 |
Last Update Date | 06/17/2024 |
Certification Date | 06/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205324720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Innovative Guidance, Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 635 Monongahela Ave, Glassport, PA 15045 Phone: 412-945-0745 Fax: 412-290-7650 |