National Provider Identifier Database

PSYCH CONSULTANTS IN LUZERNE VALLEY
Psychiatric/Mental Health, Adult


Contact Information

PSYCH CONSULTANTS IN LUZERNE VALLEY
601 W 5TH ST
MOUNT CARMEL, PA17851-1803
Phone: 570-875-8058
Fax: 570-554-4357
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health, Adult 364SP0809X
Adult Health 363LA2200X
Psychiatric/Mental Health, Child & Adolescent 364SP0807X

* Indicates primary specialty

NPI Profile & details for PSYCH CONSULTANTS IN LUZERNE VALLEY

NPI Number 1801271010
Legal business name
LBN
PSYCH CONSULTANTS IN LUZERNE VALLEY
Authorized official JOAN CICCHIELLO - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 07/29/2015
Last updated 07/29/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: SP009838
  • PA License #: TP006931C

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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