Organization
NORTHEAST COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRAN EMERSHAW LSW (EXEC. DIRECTOR)
(570) 735-7590
Entity
Organization
Contact information
Practice address
1700 W 22ND ST, HAZLE TOWNSHIP, PA 18202-1535
(570) 455-6385
Mailing address
663 E MAIN ST, NANTICOKE, PA 18634-1825
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1007615710065
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
1007615710004
PA
261QM0850X
Adult Mental Health Clinic/Center
1007615710004
PA
261QM0850X
Adult Mental Health Clinic/Center
1007615710065
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1007615710004
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1007615710065
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007615710065
—
PA
05
—
1007615710073
—
PA
05
—
1007615710074
—
PA
05
—
1007615710075
—
PA
05
—
1007615710076
—
PA
05
—
1007615710077
—
PA
05
—
1007615710078
—
PA
05
—
1007615710079
—
PA
05
—
1007615710080
—
PA
05
—
1007615710081
—
PA
05
—
1007615710082
—
PA
05
—
1007615710083
—
PA
05
—
1007615710084
—
PA
Enumeration date
10/31/2013
Last updated
08/29/2019
Update your record
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