| Gena Patackas Lpc Llc | |
|
1005 Main St Ste 3 Peckville PA 18452-2166 | |
| (570) 382-3122 | |
| Not Available |
| Full Name | Gena Patackas Lpc Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1005 Main St Ste 3, Peckville, Pennsylvania |
| Authorized Official Name and Position | Eugena Therese Patackas (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5703823122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gena Patackas Lpc Llc 1005 Main St Ste 3 Peckville PA 18452-2166 Ph: (570) 382-3122 | Gena Patackas Lpc Llc 1005 Main St Ste 3 Peckville PA 18452-2166 Ph: (570) 382-3122 |
| NPI Number | 1497590491 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 03/13/2025 |
| Certification Date | 03/13/2025 |
| Medicare PECOS PAC ID | 9638693997 |
|---|---|
| Medicare Enrollment ID | O20250408001725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497590491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Eugena Therese Patackas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003299397 PECOS PAC ID: 6507380862 Enrollment ID: I20250408001951 |
Hope And Healing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Main St, Peckville, PA 18452 Phone: 570-239-4928 | |
Electric City Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1418 Main St Ste 207, Peckville, PA 18452 Phone: 570-277-1123 |