LITTLE CREEK LODGE NPI 1508290636

NPI Information

  • NPI: 1508290636
  • Provider Name: LITTLE CREEK LODGE
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 359 EASTON TPKE
    LAKE ARIEL, PA
    ZIP 18436
  • Phone: (570) 689-2644

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NPI Details

LITTLE CREEK LODGE is a substance abuse rehabilitation facility in Lake Ariel, PA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LITTLE CREEK LODGE NPI is 1508290636. The provider is registered as an organization entity type.

The provider's business location address is:

359 EASTON TPKE
LAKE ARIEL, PA
ZIP 18436-794
Phone: (570) 689-2644
Fax: (570) 689-2744

The provider's authorized official is Barbara Warren-pace .
The authorized official title is Cfo and has the following contact phone number (570) 689-2644.

The enumeration date for this NPI number is 8/26/2013 and was last updated on 8/26/2013.

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
1324500000XSubstance Abuse Rehabilitation Facility647020PENNSYLVANIAYes

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: 11/21/2025

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