Organization
NESHAMAH BREAD & ROSES COUNSELING, LLC
Active
Other names
Neshamah Bread & Roses Counseling, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LANGE LPC (OWNER)
(570) 377-0090
Entity
Organization
Contact information
Practice address
302 W CENTRAL AVE, AVIS, PA 17721-8901
(570) 377-0090
Mailing address
1026 HEPBURN ST, WILLIAMSPORT, PA 17701-3423
(570) 377-0090
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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