| The Hemlock Reprieve Llc | |
|
529 Seven Bridge Rd Ste 207 East Stroudsburg PA 18301-7937 | |
| (570) 730-1234 | |
| Not Available |
| Full Name | The Hemlock Reprieve Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 529 Seven Bridge Rd Ste 207, East Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Heather M. Sportelli (SOLE MEMBER) |
| Authorized Official Contact | 5707301234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Hemlock Reprieve Llc 529 Seven Bridge Rd Ste 207 East Stroudsburg PA 18301-7937 Ph: () - | The Hemlock Reprieve Llc 529 Seven Bridge Rd Ste 207 East Stroudsburg PA 18301-7937 Ph: (570) 730-1234 |
| NPI Number | 1134657000 |
|---|---|
| Provider Enumeration Date | 05/23/2017 |
| Last Update Date | 05/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134657000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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