| Switch Mental Health Services Inc | |
|
903 Old Scalp Ave Johnstown PA 15904-1763 | |
| (814) 713-1840 | |
| Not Available |
| Full Name | Switch Mental Health Services Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 903 Old Scalp Ave, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Gregory Reynolds (CEO, LPC) |
| Authorized Official Contact | 8147131840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Switch Mental Health Services Inc 525 Bedford St Windber PA 15963-1230 Ph: (814) 270-0354 | Switch Mental Health Services Inc 903 Old Scalp Ave Johnstown PA 15904-1763 Ph: (814) 713-1840 |
| NPI Number | 1174298244 |
|---|---|
| Provider Enumeration Date | 08/11/2021 |
| Last Update Date | 01/09/2024 |
| Certification Date | 08/11/2021 |
| Medicare PECOS PAC ID | 0143663336 |
|---|---|
| Medicare Enrollment ID | O20250225002200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174298244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Amy Canavan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720318249 PECOS PAC ID: 9335403120 Enrollment ID: I20180502001746 |
| Provider Name | Constance Laverne Manley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942683206 PECOS PAC ID: 2466972153 Enrollment ID: I20250225002412 |
| Provider Name | Gregory Evan Reynolds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053587295 PECOS PAC ID: 9638699317 Enrollment ID: I20250228001560 |
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