# GALLAHER FAMILY PRACTICE AND ADDICTION RECOVERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821890302
- **Authorized official:** MANDY LYN GALLAHER FNP-BC (FNP-BC)
- **Authorized official phone:** (814) 762-0527

## Contact information

- **Practice address:** 1229 TURNPIKE AVE, CLEARFIELD, PA 16830-3027
- **Practice address phone:** (814) 335-5965
- **Practice address fax:** (814) 205-4042
- **Mailing address:** 1229 TURNPIKE AVE, CLEARFIELD, PA 16830-3027
- **Mailing address phone:** (814) 335-5965
- **Mailing address fax:** (814) 205-4042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/26/2025
- **Last updated:** 03/26/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1720748742 | NPI | PA |