| Infinite Wellbeing, Llc | |
|
814 Main St Dickson City PA 18519-1530 | |
| (570) 904-7943 | |
| Not Available |
| Full Name | Infinite Wellbeing, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 814 Main St, Dickson City, Pennsylvania |
| Authorized Official Name and Position | Colleen Marie Brown (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5709047943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Wellbeing, Llc Po Box 273 Peckville PA 18452-0273 Ph: (570) 904-7943 | Infinite Wellbeing, Llc 814 Main St Dickson City PA 18519-1530 Ph: (570) 904-7943 |
| NPI Number | 1255026738 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Medicare PECOS PAC ID | 0648637579 |
|---|---|
| Medicare Enrollment ID | O20230607002258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255026738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gina M Constantini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174674162 PECOS PAC ID: 8022106806 Enrollment ID: I20071112000474 |
| Provider Name | Colleen M Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922556372 PECOS PAC ID: 0547558991 Enrollment ID: I20161018001031 |
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