| Laurel Behavioral Health Outpatient | |
|
40 W Wellsboro St Mansfield PA 16933-1411 | |
| (570) 723-0620 | |
| Not Available |
| Full Name | Laurel Behavioral Health Outpatient |
|---|---|
| Speciality | Clinic/Center |
| Location | 40 W Wellsboro St, Mansfield, Pennsylvania |
| Authorized Official Name and Position | Angela M. Vanzile (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5706621945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Behavioral Health Outpatient 40 W Wellsboro St Mansfield PA 16933-1411 Ph: (570) 662-1945 | Laurel Behavioral Health Outpatient 40 W Wellsboro St Mansfield PA 16933-1411 Ph: (570) 723-0620 |
| NPI Number | 1376923896 |
|---|---|
| Provider Enumeration Date | 06/01/2015 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 0446245880 |
|---|---|
| Medicare Enrollment ID | O20150710001397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376923896 | NPI | - | NPPES |
| 103562 | Other | PA | MEDICARE PART B |
| 391056 | Other | PA | MEDICARE PART A |
| 1000011720142 | Medicaid | PA |
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