| Family Life Ministries Inc | |
|
7634 Campbell Creek Rd Bath NY 14810-7612 | |
| (607) 776-4151 | |
| (607) 776-2969 |
| Full Name | Family Life Ministries Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7634 Campbell Creek Rd, Bath, New York |
| Authorized Official Name and Position | Barbara C Short (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6077764151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Life Ministries Inc Po Box 506 Bath NY 14810-0506 Ph: (607) 776-4151 | Family Life Ministries Inc 7634 Campbell Creek Rd Bath NY 14810-7612 Ph: (607) 776-4151 |
| NPI Number | 1124772637 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Medicare PECOS PAC ID | 7618342171 |
|---|---|
| Medicare Enrollment ID | O20230414000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124772637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Barbara Claire Short |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306923289 PECOS PAC ID: 1254706716 Enrollment ID: I20230414000789 |
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