| Luzerne Wyoming County Mental Health Center #1 | |
| 
					562 Wyoming Ave Kingston PA 18704-3721  | |
| (570) 552-3900 | |
| (570) 552-3907 | 
| Full Name | Luzerne Wyoming County Mental Health Center #1 | 
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) | 
| Location | 562 Wyoming Ave, Kingston, Pennsylvania | 
| Authorized Official Name and Position | Joseph H Knecht (CEO) | 
| Authorized Official Contact | 5705523900 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Luzerne Wyoming County Mental Health Center #1 562 Wyoming Ave Kingston PA 18704-3721 Ph: (570) 552-3900  | Luzerne Wyoming County Mental Health Center #1 562 Wyoming Ave Kingston PA 18704-3721 Ph: (570) 552-3900  | 
| NPI Number | 1568631513 | 
|---|---|
| Provider Enumeration Date | 02/25/2008 | 
| Last Update Date | 02/25/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568631513 | NPI | - | NPPES | 
| 1000020800061 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 222490 (Pennsylvania) | Primary | 
Luzerne Wyoming County Mh Center #1 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Wyoming Ave, Kingston, PA 18704 Phone: 570-552-3900 Fax: 570-552-3907  | |
Behavioral Medicine Associates Of Northeastern Lennsylvania, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 Pierce St Ste 303, Kingston, PA 18704 Phone: 570-690-5159  | |
Bright Achievements Of Pa Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Pierce St Ste 106, Kingston, PA 18704 Phone: 732-430-9275 Fax: 732-377-5662  | |
Scott D Carey, Ma, Lpc, Ncc, Cadc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 Pierce St Ste 108, Kingston, PA 18704 Phone: 570-575-7757 Fax: 570-753-7852  | |
Luzerne Wyoming County Mh Center #1 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Wyoming Ave, Kingston, PA 18704 Phone: 570-552-3760 Fax: 570-552-3765  | |
Merc Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 628 Westmoreland Ave, Kingston, PA 18704 Phone: 570-266-2785  | |
Omni Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Pierce St Ste 100, Kingston, PA 18704 Phone: 570-455-0322 Fax: 570-455-0566  |