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Organization

BEYOND COUNSELING CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAMELA ROSE COSPER LCSW (LICENSED CLINICAL SOCIAL WORKER)
(570) 204-4028
Entity
Organization

Contact information

Practice address
16 SHERWOOD DRIVE, SUITE C, BLOOMSBURG, PA 17815-3086
(570) 204-4028
(570) 445-2214
Mailing address
16 SHERWOOD DRIVE, SUITE C, BLOOMSBURG, PA 17815-3086
(570) 204-4028
(570) 445-2214

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018964
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019468810006
PA
05
1035723800001
PA
Enumeration date
07/08/2018
Last updated
04/29/2019
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