WHITE DEER RUN LLC NPI 1568582559

NPI Information

  • NPI: 1568582559
  • Provider Name: WHITE DEER RUN, LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 39D0972435
  • Address: 3030 CHESTNUT ST
    LEBANON, PA
    ZIP 17042
  • Phone: (717) 270-3900

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NPI Details

WHITE DEER RUN, LLC is a community behavioral health in Lebanon, PA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. WHITE DEER RUN, LLC NPI is 1568582559. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

3030 CHESTNUT ST
LEBANON, PA
ZIP 17042-518
Phone: (717) 270-3900

The provider's authorized official is Brian P. Farley .
The authorized official title is Vice President & Secretary and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 39D0972435 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2007 and was last updated on 1/20/2026.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)000387017PENNSYLVANIANo
2261Q00000XClinic/Center000387017PENNSYLVANIANo
3261QR0405XClinic/CenterRehabilitation, Substance Use Disorder000387017PENNSYLVANIANo
4251S00000XCommunity/Behavioral Health000387017PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007567870041MEDICAIDPENNSYLVANIA

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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