Provider Demographics
NPI:1467538249
Name:LUTHERAN SOCIAL SERVICES OF SOUTH CENTRAL PENNSYLVANIA
Entity Type:Organization
Organization Name:LUTHERAN SOCIAL SERVICES OF SOUTH CENTRAL PENNSYLVANIA
Other - Org Name:LUTHERAN COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:SKELLY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:717-263-9093
Mailing Address - Street 1:129 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1807
Mailing Address - Country:US
Mailing Address - Phone:717-633-1227
Mailing Address - Fax:717-633-5250
Practice Address - Street 1:129 CHARLES ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1807
Practice Address - Country:US
Practice Address - Phone:717-633-1227
Practice Address - Fax:717-633-5250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50014732OtherCAPITAL BLUE CROSS
PA30564OtherSOUTH CENTRAL PREFERRED
PA50014732OtherCAPITAL BLUE CROSS