LAKE ERIE BEHAVIORAL HEALTH LLC NPI 1245742469

NPI Information

NPI: 1245742469
Provider Name: LAKE ERIE BEHAVIORAL HEALTH, LLC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
3216 STATE ST
ERIE, PA
ZIP 16508
Phone: (814) 812-2633
Get Directions

LAKE ERIE BEHAVIORAL HEALTH, LLC is a child and adolescent psychiatry psychiatry neurology in Erie, PA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. LAKE ERIE BEHAVIORAL HEALTH, LLC NPI is 1245742469. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3216 STATE ST
ERIE, PA
ZIP 16508
Phone: (814) 812-2633

The provider's authorized official is Sherifia Elaine Heron .
The authorized official title is Ceo and has the following contact phone number (814) 454-3192.

The enumeration date for this NPI number is 10/27/2017 and was last updated on 11/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	MD458004	PENNSYLVANIA	Yes

What is NPI?

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This page was last updated on: 4/28/2024

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