| Lahtze Enterprises Llc | |
|
7515 S State St Lowville NY 13367-1569 | |
| (315) 376-0376 | |
| (315) 376-0378 |
| Full Name | Lahtze Enterprises Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7515 S State St, Lowville, New York |
| Authorized Official Name and Position | April E Diles (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 3153760376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lahtze Enterprises Llc 7515 S State St Lowville NY 13367-1569 Ph: (315) 376-0376 | Lahtze Enterprises Llc 7515 S State St Lowville NY 13367-1569 Ph: (315) 376-0376 |
| NPI Number | 1548616949 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 05/04/2016 |
| Medicare PECOS PAC ID | 9133410889 |
|---|---|
| Medicare Enrollment ID | O20160628000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548616949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 401513 (New York) | Primary |
| Provider Name | April E Diles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972852069 PECOS PAC ID: 3173753381 Enrollment ID: I20140310001781 |
Bianca Boucher Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6006 Number Four Rd, Lowville, NY 13367 Phone: 315-220-9525 | |
Pathways Counseling Services, Llp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5402 Dayan St, Lowville, NY 13367 Phone: 315-804-0303 | |
Lewis County Community Services Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7550 S State St, Lowville, NY 13367 Phone: 315-376-5450 Fax: 315-376-7221 | |
Lewis County Mh Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7550 South State Street, Lowville, NY 13367 Phone: 315-376-5450 Fax: 315-376-7221 |