Organization
LITTLE CREEK OUTPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MCKENDRY MS, LPC, CCS (CLINICAL/EXECUTIVE DIRECTOR)
(570) 689-2043
Entity
Organization
Contact information
Practice address
473 EASTON TPKE STE 5, LAKE ARIEL, PA 18436-4716
(570) 689-6068
(570) 689-2744
Mailing address
PO BOX 942, HAMLIN, PA 18427-0942
(570) 689-6068
(570) 689-2744
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
647021
PA
Other
Enumeration date
09/01/2016
Last updated
02/21/2024
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