| Baseline Therapeutic Services Llc | |
|
177 Main Rd Lehighton PA 18235-2310 | |
| (610) 577-6092 | |
| Not Available |
| Full Name | Baseline Therapeutic Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 177 Main Rd, Lehighton, Pennsylvania |
| Authorized Official Name and Position | Jonathan M Blackwell-rodgers (OWNER/OPERATOR) |
| Authorized Official Contact | 6105776980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baseline Therapeutic Services Llc 371 S 2nd St Lehighton PA 18235-2145 Ph: (610) 577-6980 | Baseline Therapeutic Services Llc 177 Main Rd Lehighton PA 18235-2310 Ph: (610) 577-6092 |
| NPI Number | 1952241168 |
|---|---|
| Provider Enumeration Date | 03/30/2026 |
| Last Update Date | 05/19/2026 |
| Certification Date | 05/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952241168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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