Northeast Therapeutic Wellness Center
Counselor, Mental Health in Moosic, PA. Organization (NPI-2).
NPI number1669923264
StatusActive
Last updated in NPPESAug 18, 2025
Details
- NPI
- 1669923264
- Entity type
- Organization (NPI-2)
- Legal business name
- Northeast Therapeutic Wellness Center
- Organization subpart
- No
- Enumeration date
- Oct 18, 2016
- Certification date
- Aug 18, 2025
- Last updated
- Aug 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
4113 Birney AveMoosic, PA 18507-1301
Phone 570-815-3823
Mailing address
1415 Penn AveScranton, PA 18509-2325
Phone 570-815-3823
Authorized official
Lynne Opsasnick
Owner
5708153823
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