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 |
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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 |
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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 |
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Provider Enumeration Date | 02/09/2022 |
Last Update Date | 08/01/2024 |
Certification Date | 08/01/2024 |
Medicare PECOS PAC ID | 4284084377 |
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Medicare Enrollment ID | O20240102003273 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790439685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Carlos N Barahona |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1649824301 PECOS PAC ID: 7810348422 Enrollment ID: I20240109000041 |
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