JEANETTE EGAN NPI 1487986154

NPI Information

NPI: 1487986154
Provider Name: JEANETTE EGAN

Doing Business As: JEANETTE EGAN 'A MH & D& A OUTPATIENT TREATMENT FACILITY'

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
860 BROAD ST STE 106
EMMAUS, PA
ZIP 18049
Phone: (610) 965-5790
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JEANETTE EGAN is a professional counselor in Emmaus, PA. JEANETTE EGAN NPI is 1487986154. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jeanette Egan 'a Mh & D& A Outpatient Treatment Facility'.

The provider's business location address is:

860 BROAD ST STE 106
EMMAUS, PA
ZIP 18049-630
Phone: (610) 965-5790
Fax: (610) 965-5790

The provider's authorized official is Jeanette Donna Egan .
The authorized official title is Director and has the following contact phone number (610) 965-3635.

The enumeration date for this NPI number is 2/5/2010 and was last updated on 2/5/2010.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	PC000119	PENNSYLVANIA	No
2	101YM0800X	Counselor	Mental Health	PC000119	PENNSYLVANIA	No
3	101YP2500X	Counselor	Professional	PC000119	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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