| The Florence Child Guidance Center | |
|
1101 Northampton St Ste 201 Easton PA 18042-4152 | |
| (610) 559-8151 | |
| (610) 559-9056 |
| Full Name | The Florence Child Guidance Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1101 Northampton St Ste 201, Easton, Pennsylvania |
| Authorized Official Name and Position | Leslie Tenbroeck (VP) |
| Authorized Official Contact | 6107741434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Florence Child Guidance Center 402 N Fulton St Allentown PA 18102-2002 Ph: (610) 432-3919 | The Florence Child Guidance Center 1101 Northampton St Ste 201 Easton PA 18042-4152 Ph: (610) 559-8151 |
| NPI Number | 1699847392 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 11/17/2020 |
| Certification Date | 11/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699847392 | NPI | - | NPPES |
| 100759368 | Medicaid | PA | |
| 29-1501260 | Other | PA | CBHNP |
| 1000570 | Other | PA | CCBH |
| 802495000 | Other | PA | MAGELLAN - EASTON SITE |
| 265638000 | Other | PA | MAGELLAN - ALLENTOWN SITE |
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