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LOURDESMONT BEHAVIORAL HEALTH SERVICES NPI 1801012349


NPI Information

NPI: 1801012349
Provider Name: LOURDESMONT BEHAVIORAL HEALTH SERVICES

Former Legal Business Name: LOURDESMONT GOOD SHEPHERD

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
537 VENARD RD
CLARKS SUMMIT, PA
ZIP 18411
Phone: (570) 587-4741
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LOURDESMONT BEHAVIORAL HEALTH SERVICES is a community behavioral health in Clarks Summit, 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. LOURDESMONT BEHAVIORAL HEALTH SERVICES NPI is 1801012349. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lourdesmont Good Shepherd.

The provider's business location address is:

537 VENARD RD
CLARKS SUMMIT, PA
ZIP 18411-249
Phone: (570) 587-4741
Fax: (570) 586-0030

The provider's authorized official is Sal Santoli .
The authorized official title is Coo and has the following contact phone number (570) 348-6100.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 5/8/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251K00000XPublic Health or WelfareNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
4322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
5251S00000XCommunity/Behavioral HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11007283070009MEDICAIDPENNSYLVANIA

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: 11/14/2023

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