| Vita Counseling Partners | |
|
3295 Forest Inn Rd Ste 3 Palmerton PA 18071-5467 | |
| (610) 826-8482 | |
| (610) 826-8483 |
| Full Name | Vita Counseling Partners |
|---|---|
| Speciality | Social Worker |
| Location | 3295 Forest Inn Rd Ste 3, Palmerton, Pennsylvania |
| Authorized Official Name and Position | Pamela Tibbs (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8558268482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Counseling Partners 3295 Forest Inn Rd Ste 3 Palmerton PA 18071-5467 Ph: (610) 826-8482 | Vita Counseling Partners 3295 Forest Inn Rd Ste 3 Palmerton PA 18071-5467 Ph: (610) 826-8482 |
| NPI Number | 1144524638 |
|---|---|
| Provider Enumeration Date | 12/27/2010 |
| Last Update Date | 12/20/2018 |
| Medicare PECOS PAC ID | 8426235060 |
|---|---|
| Medicare Enrollment ID | O20110607000545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144524638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW015916 (Pennsylvania) | Primary |
| Provider Name | Pamela Tibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831478999 PECOS PAC ID: 6406171636 Enrollment ID: I20150211000856 |
| Provider Name | Bernadette M Gaumer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477885390 PECOS PAC ID: 1557687258 Enrollment ID: I20150223001600 |
| Provider Name | Gina M Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871645754 PECOS PAC ID: 9830400118 Enrollment ID: I20150615000300 |
| Provider Name | Jennifer Bruno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104346477 PECOS PAC ID: 6305108101 Enrollment ID: I20180314001493 |
| Provider Name | Susan R Barradale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780094342 PECOS PAC ID: 4688915564 Enrollment ID: I20190402000978 |
| Provider Name | Andrea S Toohey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194190116 PECOS PAC ID: 0345672424 Enrollment ID: I20191111001548 |
Carbon Lehigh Intermediate Unit #21 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 Delaware Ave, Palmerton, PA 18071 Phone: 610-769-1160 Fax: 610-769-1163 | |
Carbon Lehigh Intermediate Unit #21 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 298 Lafayette Ave, Palmerton, PA 18071 Phone: 610-826-4349 Fax: 610-826-3451 |