Provider Demographics
NPI:1083028393
Name:D.L.BACON CONSULTING L.L.C.
Entity Type:Organization
Organization Name:D.L.BACON CONSULTING L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BACON
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:717-344-7854
Mailing Address - Street 1:2291 LAUREL RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NARVON
Mailing Address - State:PA
Mailing Address - Zip Code:17555-9736
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2291 LAUREL RIDGE RD
Practice Address - Street 2:
Practice Address - City:NARVON
Practice Address - State:PA
Practice Address - Zip Code:17555-9736
Practice Address - Country:US
Practice Address - Phone:717-344-7854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-13
Last Update Date:2014-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health