Pocono Behavioral Wellness, Llc

LBN: Pocono Behavioral Wellness, Llc
Pocono Behavioral Wellness, Llc is an health care organization with primary practice located at 745 Main St Ste 204 , Stroudsburg PA 18360-2060. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Pocono Behavioral Wellness, Llc can be contacted via phone (570) 994-2664, or through Brito, Eileen via phone (570) 994-2664.

Contact Information

Primary practice address
745 Main St Ste 204 Stroudsburg PA 18360-2060
Phone: (570) 994-2664
Fax: (570) 694-6694
Website:
Map and Directions
Authorized official contact:
Name: Brito, Eileen Licensed Clinical Social Worker (LCSW)
Phone: (570) 994-2664

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1558791863
LBN Legal business name Pocono Behavioral Wellness, Llc
DBA Doing business as
Authorized official Brito, Eileen Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2013
Last updated Dec 6th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558791863 NPPES
Pennsylvania Other 361620 MEDICARE PTAN

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