| Lehighvalley Community Mental Health Centers, Inc. | |
|
865 E 4th St Bethlehem PA 18015-1935 | |
| (484) 221-9136 | |
| (484) 221-9130 |
| Full Name | Lehighvalley Community Mental Health Centers, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 865 E 4th St, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Melissa Ann Chlebowski (CEO) |
| Authorized Official Contact | 4842219136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lehighvalley Community Mental Health Centers, Inc. 2030 W Tilghman St Suite 105b Allentown PA 18104-4354 Ph: (484) 221-9136 | Lehighvalley Community Mental Health Centers, Inc. 865 E 4th St Bethlehem PA 18015-1935 Ph: (484) 221-9136 |
| NPI Number | 1760455596 |
|---|---|
| Provider Enumeration Date | 02/10/2006 |
| Last Update Date | 11/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760455596 | NPI | - | NPPES |
| 1549067 | Other | PA | GATEWAY 65 COMPLETE |
| 0015772780002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 242960 (Pennsylvania) | Primary |
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