Turning Tides Psychological Services, Llc | |
3218 Pittston Ave Ste 8 Scranton PA 18505-2964 | |
(570) 209-9898 | |
Not Available |
Full Name | Turning Tides Psychological Services, Llc |
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Speciality | Psychologist |
Location | 3218 Pittston Ave Ste 8, Scranton, Pennsylvania |
Authorized Official Name and Position | Caroline Johanson (OWNER/ PSYCHOLOGIST) |
Authorized Official Contact | 5702099898 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Turning Tides Psychological Services, Llc 3218 Pittston Ave Suite 8 Scranton PA 18505 Ph: (570) 209-9898 | Turning Tides Psychological Services, Llc 3218 Pittston Ave Ste 8 Scranton PA 18505-2964 Ph: (570) 209-9898 |
NPI Number | 1427698521 |
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Provider Enumeration Date | 01/07/2020 |
Last Update Date | 01/07/2020 |
Certification Date | 01/07/2020 |
Medicare PECOS PAC ID | 8426423005 |
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Medicare Enrollment ID | O20230621002789 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427698521 | NPI | - | NPPES |
1578939005 | Other | PA | NPI |
Taxonomy | Type | License (State) | Status |
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103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
Provider Name | Lori Villano |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447778808 PECOS PAC ID: 1456619741 Enrollment ID: I20171214000317 |
Provider Name | Lori A Chieffallo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295351492 PECOS PAC ID: 9436527280 Enrollment ID: I20221129000428 |
Provider Name | Caroline Johanson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1578939005 PECOS PAC ID: 1153796735 Enrollment ID: I20230413000441 |
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