Organization
NORTHEAST COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS EMERSHAW JR. (EXEC DIRECTOR)
(570) 455-6385
Entity
Organization
Contact information
Practice address
121 S PROSPECT ST, NANTICOKE, PA 18634-2456
(570) 735-7590
Mailing address
750 E BROAD ST, HAZLETON, PA 18201-6835
(570) 455-6385
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1007615710042
PA
261QM0850X
Adult Mental Health Clinic/Center
1007615710016
PA
261QM0850X
Adult Mental Health Clinic/Center
1007615710063
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007615710042
—
PA
05
—
1007615710067
—
PA
Enumeration date
02/07/2007
Last updated
01/18/2017
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