| Northeast Counseling Services | |
|
400 Alvin St Freeland PA 18224-1201 | |
| (570) 636-0112 | |
| Not Available |
| Full Name | Northeast Counseling Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 400 Alvin St, Freeland, Pennsylvania |
| Authorized Official Name and Position | Ed Abdo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5707357590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Counseling Services 750 E Broad St Hazleton PA 18201-6835 Ph: (570) 455-6385 | Northeast Counseling Services 400 Alvin St Freeland PA 18224-1201 Ph: (570) 636-0112 |
| NPI Number | 1982822193 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 11/10/2020 |
| Certification Date | 11/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982822193 | NPI | - | NPPES |
| 229800 | Medicaid | PA | |
| 1007615710041 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 1007615710041 (Pennsylvania) | Primary |