| Mid River Counseling, Llc | |
|
416 Market St Ste 214 Lewisburg PA 17837-1473 | |
| (717) 417-8378 | |
| Not Available |
| Full Name | Mid River Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 416 Market St Ste 214, Lewisburg, Pennsylvania |
| Authorized Official Name and Position | Dominick Agosti (MEMBER) |
| Authorized Official Contact | 7174178378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid River Counseling, Llc 416 Market St Ste 214 Lewisburg PA 17837-1473 Ph: (717) 417-8378 | Mid River Counseling, Llc 416 Market St Ste 214 Lewisburg PA 17837-1473 Ph: (717) 417-8378 |
| NPI Number | 1700672474 |
|---|---|
| Provider Enumeration Date | 04/17/2025 |
| Last Update Date | 04/21/2025 |
| Certification Date | 04/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700672474 | NPI | - | NPPES |
| 1437765435 | Other | PA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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