| Northeast Counseling Service | |
|
109 W Green St Nanticoke PA 18634-2212 | |
| (570) 735-7590 | |
| Not Available |
| Full Name | Northeast Counseling Service |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 109 W Green St, Nanticoke, Pennsylvania |
| Authorized Official Name and Position | Rich Zabinski (MIS DIRECTOR) |
| Authorized Official Contact | 5704556385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Counseling Service 750 E Broad St Hazleton PA 18201-6835 Ph: (570) 455-6385 | Northeast Counseling Service 109 W Green St Nanticoke PA 18634-2212 Ph: (570) 735-7590 |
| NPI Number | 1205437092 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 11/06/2020 |
| Certification Date | 11/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205437092 | NPI | - | NPPES |
| 1007615710070 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Northeast Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Washington St, Nanticoke, PA 18634 Phone: 570-735-7590 | |
Northeast Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Washington St, Nanticoke, PA 18634 Phone: 570-735-7590 | |
Northeast Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S Prospect St, Nanticoke, PA 18634 Phone: 570-735-7590 | |
Tae I Shynn Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S Prospect St, Nanticoke, PA 18634 Phone: 570-735-7590 Fax: 570-735-0186 | |
Northeast Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S Prospect St, Nanticoke, PA 18634 Phone: 570-735-7590 | |
Northeast Community Crisis Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 N. Washington Street, Nanticoke, PA 18634 Phone: 570-735-8195 |