Provider Demographics
NPI:1598480063
Name:NORTHEAST COUNSELING SERVICE
Entity Type:Organization
Organization Name:NORTHEAST COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-455-6385
Mailing Address - Street 1:750 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18201-6835
Mailing Address - Country:US
Mailing Address - Phone:157-045-5638
Mailing Address - Fax:
Practice Address - Street 1:22 E END CTR
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-6968
Practice Address - Country:US
Practice Address - Phone:570-735-7590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty