Organization
CALDWELL FAMILY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE DIANE CALDWELL LCSW (OWNER)
(570) 441-4623
Entity
Organization
Contact information
Practice address
457 RIDGE ST, BLOOMSBURG, PA 17815-3371
(570) 441-4623
(570) 356-2207
Mailing address
PO BOX 692, BLOOMSBURG, PA 17815-0692
(570) 441-4623
(570) 356-2207
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CW015549
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019912710001
—
PA
Enumeration date
01/12/2011
Last updated
08/06/2015
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