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Organization
MID ERIE MENTAL HEALTH SERVICES INC
Active
Organization
MID ERIE MENTAL HEALTH SERVICES INC
Active
Other names
Mid Erie Counseling and Treatment Services
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J MCINERNEY CPA (CFO)
(716) 895-7167
Entity
Organization
Contact information
Practice address
1526 WALDEN AVE, STE 400, CHEEKTOWAGA, NY 14225-4965
(716) 895-7167
(716) 382-4488
Mailing address
1526 WALDEN AVE, STE 400, CHEEKTOWAGA, NY 14225-4965
(716) 895-7167
(716) 382-4488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000809000
PPO BLUE CROSS
—
01
—
000000858000
PPO BLUE CROSS
—
01
—
000000859000
PPO BLUE CROSS
—
01
—
000081002150
FIDELIS
—
01
—
00011241001
UNIVERA MEDICAL DOCTOR
—
01
—
000500635005
BLUE CROSS MENTAL HEALTH
—
01
—
000504008007
BLUE CROSS MENTAL HEALTH
—
01
—
000506023001
COMMUNITY BLUE
—
01
—
000507788006
BLUE CROSS MENTAL HEALTH
—
01
—
000524043001
BLUE CROSS MENTAL HEALTH
—
01
—
000525283001
BLUE CROSS MENTAL HEALTH
—
01
—
000525284002
BLUE CROSS MENTAL HEALTH
—
01
—
000528870001
PPO BLUE CROSS MENTAL H
—
01
—
0029795
GHI
—
01
—
1131
BLUE CROSS CHD
—
01
—
1526
BLUE CROSS CHD
—
01
—
463
BLUE CROSS CHD
—
01
—
8401019
IHA
—
Enumeration date
04/26/2006
Last updated
10/09/2014
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