| Allay - Mental Health & Wellness Llc | |
|
811 Market St Williamsport PA 17701-3402 | |
| (570) 433-0249 | |
| Not Available |
| Full Name | Allay - Mental Health & Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 811 Market St, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Laura E Capel (MEMBER) |
| Authorized Official Contact | 5704330249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allay - Mental Health & Wellness Llc 811 Market St Williamsport PA 17701-3402 Ph: (570) 433-0249 | Allay - Mental Health & Wellness Llc 811 Market St Williamsport PA 17701-3402 Ph: (570) 433-0249 |
| NPI Number | 1609423219 |
|---|---|
| Provider Enumeration Date | 08/20/2019 |
| Last Update Date | 07/06/2020 |
| Certification Date | 07/06/2020 |
| Medicare PECOS PAC ID | 8628492949 |
|---|---|
| Medicare Enrollment ID | O20200721000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609423219 | NPI | - | NPPES |
| 1029202560001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Bernadette Itle Crosby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770513160 PECOS PAC ID: 1951311752 Enrollment ID: I20060424000538 |
| Provider Name | Sarah A Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780801704 PECOS PAC ID: 6305972498 Enrollment ID: I20100329000117 |
| Provider Name | Laura E Capel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710258207 PECOS PAC ID: 3173947496 Enrollment ID: I20240105000467 |
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