Organization
EMERY BEHAVIORAL HEALTH SERVICES, INC
Active
Parent organization
EMERY BEHAVIORAL HEALTH SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMERY BEHAVIORAL HEALTH SERVICES, INC
Authorized official
MR. DUSTIN EMERY MSED (VICE PRESIDENT/DIRECTOR OF OPERATIO)
(570) 522-0304
Entity
Organization
Contact information
Practice address
235 MARKET ST, SUITE 2, SUNBURY, PA 17801-3401
(570) 286-0987
(570) 286-0989
Mailing address
32 WHISPER CREEK DR, SUITE 7, LEWISBURG, PA 17837-7770
(570) 522-0304
(570) 522-0475
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015898
PA
104100000X
Social Worker
SW013397L
PA
104100000X
Social Worker
SW126648
PA
1041C0700X
Clinical Social Worker
CW015380
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015177000001
—
PA
05
—
1019047770002
—
PA
05
—
1019060380002
—
PA
05
—
1019581500001
—
PA
Enumeration date
12/31/2009
Last updated
02/22/2011
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