| Keystone Counseling And Evaluation Services | |
|
120 S Highland St Lock Haven PA 17745-2812 | |
| (570) 748-7173 | |
| (570) 748-5717 |
| Full Name | Keystone Counseling And Evaluation Services |
|---|---|
| Speciality | Counselor |
| Location | 120 S Highland St, Lock Haven, Pennsylvania |
| Authorized Official Name and Position | Sarah Santucci (COO) |
| Authorized Official Contact | 5707487173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Counseling And Evaluation Services 120 S Highland St Lock Haven PA 17745-2812 Ph: (570) 748-7173 | Keystone Counseling And Evaluation Services 120 S Highland St Lock Haven PA 17745-2812 Ph: (570) 748-7173 |
| NPI Number | 1790099372 |
|---|---|
| Provider Enumeration Date | 08/05/2010 |
| Last Update Date | 01/16/2023 |
| Certification Date | 01/16/2023 |
| Medicare PECOS PAC ID | 3274890561 |
|---|---|
| Medicare Enrollment ID | O20171121001767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790099372 | NPI | - | NPPES |
| 1026826640002 | Medicaid | PA |
| Provider Name | Sarah Anne Mccloskey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871538827 PECOS PAC ID: 2062425689 Enrollment ID: I20060727000409 |
| Provider Name | Kaitlin Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235519703 PECOS PAC ID: 8921479262 Enrollment ID: I20230124000932 |
| Provider Name | Chelsea Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114497831 PECOS PAC ID: 4486029576 Enrollment ID: I20230403001056 |
| Provider Name | Kathryn Mccarty-welch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619508421 PECOS PAC ID: 7416306501 Enrollment ID: I20231214002394 |
| Provider Name | Heather Hannah Tawney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043502156 PECOS PAC ID: 6800246802 Enrollment ID: I20240102003781 |
| Provider Name | Rachael Tilden D'altrui |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114180098 PECOS PAC ID: 8729522776 Enrollment ID: I20240701002630 |
| Provider Name | Corrina Jane Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912621061 PECOS PAC ID: 2961929948 Enrollment ID: I20250505001093 |
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