| Cnb Therapy Counseling Services, Llc | |
|
421 S State St Clarks Summit PA 18411-1684 | |
| (570) 435-1915 | |
| Not Available |
| Full Name | Cnb Therapy Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 421 S State St, Clarks Summit, Pennsylvania |
| Authorized Official Name and Position | Carlos Neftali Barahona (OWNER/MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5704351915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cnb Therapy Counseling Services, Llc 1539 Heart Lake Rd Scott Township PA 18433-7772 Ph: (570) 435-1915 | Cnb Therapy Counseling Services, Llc 421 S State St Clarks Summit PA 18411-1684 Ph: (570) 435-1915 |
| NPI Number | 1790439685 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 08/01/2024 |
| Certification Date | 08/01/2024 |
| Medicare PECOS PAC ID | 4284084377 |
|---|---|
| Medicare Enrollment ID | O20240102003273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790439685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Carlos N Barahona |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649824301 PECOS PAC ID: 7810348422 Enrollment ID: I20240109000041 |
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