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Organization
NOVA BEHAVIORAL HEALTH, LLC
Active
Organization
NOVA BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADYA GIFEISMAN LCSW (THERAPIST)
(174) 026-2377
Entity
Organization
Contact information
Practice address
703 S ELMER AVE STE 107, SAYRE, PA 18840-2400
(570) 203-1735
(570) 888-2641
Mailing address
221 QUEEN ESTHER DR, SAYRE, PA 18840-9698
(740) 262-3777
(570) 888-2641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
08/26/2021
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