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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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