Organization
OMNI HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL M THEVAR (PRESIDENT)
(215) 997-2000
Entity
Organization
Contact information
Practice address
1339 N MAIN AVE, SCRANTON, PA 18508-1880
(570) 507-9272
(570) 880-7933
Mailing address
PO BOX 454, MONTGOMERYVILLE, PA 18936-0454
(215) 997-2000
(215) 699-5040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020016630010
—
PA
Enumeration date
12/11/2018
Last updated
06/26/2025
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