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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 Specialty Code Provider Type

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Child & Adolescent

364SP0807X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for PSYCH CONSULTANTS IN LUZERNE VALLEY

NPI # 1801271010
LBN Legal business name PSYCH CONSULTANTS IN LUZERNE VALLEY
Authorized official JOAN CICCHIELLO - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/29/2015
Last updated 07/29/2015 - About 11 years ago
Identifiers
PA License # SP009838
PA License # TP006931C
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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