| Northeast Counseling Services | |
|
325 North St West Hazleton PA 18202-3751 | |
| (570) 453-1920 | |
| Not Available |
| Full Name | Northeast Counseling Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 325 North St, West Hazleton, 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: () - | Northeast Counseling Services 325 North St West Hazleton PA 18202-3751 Ph: (570) 453-1920 |
| NPI Number | 1104019769 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 08/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104019769 | NPI | - | NPPES |
| 1007615710032 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 1007615710032 (Pennsylvania) | Primary |
Northeast Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 North St, West Hazleton, PA 18202 Phone: 570-455-6385 |