| Institute Of Healing And Psychotherapy | |
|
1747 E Broad St Suite B Hazleton PA 18201-5621 | |
| (570) 501-1600 | |
| (570) 501-1600 |
| Full Name | Institute Of Healing And Psychotherapy |
|---|---|
| Speciality | Psychologist |
| Location | 1747 E Broad St, Hazleton, Pennsylvania |
| Authorized Official Name and Position | Frank James Vita (PSYCHOLOGIST/SOLE MEMBER) |
| Authorized Official Contact | 5705011600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute Of Healing And Psychotherapy 1747 E Broad St Suite B Hazleton PA 18201-5621 Ph: (570) 501-1600 | Institute Of Healing And Psychotherapy 1747 E Broad St Suite B Hazleton PA 18201-5621 Ph: (570) 501-1600 |
| NPI Number | 1720327646 |
|---|---|
| Provider Enumeration Date | 02/13/2013 |
| Last Update Date | 02/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720327646 | NPI | - | NPPES |
| 0015541660006 | Medicaid | PA | |
| 0015541660003 | Medicaid | PA | |
| 564323 | Other | PA | BLUE CROSS |
| VI564323 | Other | PA | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS006536L (Pennsylvania) | Primary |
Omni Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 E Broad St, Hazleton, PA 18201 Phone: 570-455-0322 Fax: 570-455-0566 | |
Northeast Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 N Wyoming St, Hazleton, PA 18201 Phone: 570-735-7590 | |
Northeast Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 E Broad St, Hazleton, PA 18201 Phone: 570-455-6385 | |
Thinking It Through Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 780 N Church St Ste G004, Hazleton, PA 18201 Phone: 570-401-1534 Fax: 000-000-0000 | |
Ajit M Chikarmane Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 N Laurel St, 2b, Hazleton, PA 18201 Phone: 570-454-5715 Fax: 570-455-5095 | |
Willow Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Wyoming St, Hazleton, PA 18201 Phone: 570-455-7000 | |
Northeast Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 E Broad St, Hazleton, PA 18201 Phone: 570-455-6385 |