NORTHEAST COUNSELING SERVICES NPI 1982822193

NPI Information

NPI: 1982822193
Provider Name: NORTHEAST COUNSELING SERVICES
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
400 ALVIN ST
FREELAND, PA
ZIP 18224
Phone: (570) 636-0112
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NORTHEAST COUNSELING SERVICES is an adolescent and children mental health clinic center in Freeland, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. NORTHEAST COUNSELING SERVICES NPI is 1982822193. The provider is registered as an organization entity type.

The provider's business location address is:

400 ALVIN ST
FREELAND, PA
ZIP 18224-201
Phone: (570) 636-0112

The provider's authorized official is Ed Abdo .
The authorized official title is Executive Director and has the following contact phone number (570) 735-7590.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 11/10/2020.

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	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	1007615710041	PENNSYLVANIA	Yes

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
1	229800	MEDICAID	PENNSYLVANIA
2	1007615710041	MEDICAID	PENNSYLVANIA

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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