| Turning Tides Psychological Services, Llc | |
|
3218 Pittston Ave Ste 8 Scranton PA 18505-2964 | |
| (570) 209-9898 | |
| Not Available |
| Full Name | Turning Tides Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3218 Pittston Ave Ste 8, Scranton, Pennsylvania |
| Authorized Official Name and Position | Caroline Johanson (OWNER/ PSYCHOLOGIST) |
| Authorized Official Contact | 5702099898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Turning Tides Psychological Services, Llc 3218 Pittston Ave Suite 8 Scranton PA 18505 Ph: (570) 209-9898 | Turning Tides Psychological Services, Llc 3218 Pittston Ave Ste 8 Scranton PA 18505-2964 Ph: (570) 209-9898 |
| NPI Number | 1427698521 |
|---|---|
| Provider Enumeration Date | 01/07/2020 |
| Last Update Date | 01/07/2020 |
| Certification Date | 01/07/2020 |
| Medicare PECOS PAC ID | 8426423005 |
|---|---|
| Medicare Enrollment ID | O20230621002789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427698521 | NPI | - | NPPES |
| 1578939005 | Other | PA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Lori Villano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447778808 PECOS PAC ID: 1456619741 Enrollment ID: I20171214000317 |
| Provider Name | Lori A Chieffallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295351492 PECOS PAC ID: 9436527280 Enrollment ID: I20221129000428 |
| Provider Name | Caroline Johanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578939005 PECOS PAC ID: 1153796735 Enrollment ID: I20230413000441 |
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