TELEHEALTH SERVICES SOUTH PA NPI 1699428359

NPI Information

NPI: 1699428359
Provider Name: TELEHEALTH SERVICES SOUTH PA
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 45D2240809

Address:
8300 ESTERS BLVD STE 900
IRVING, TX
ZIP 75063
Phone: (415) 424-4266
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TELEHEALTH SERVICES SOUTH PA is a mental health counselor in Irving, TX. TELEHEALTH SERVICES SOUTH PA NPI is 1699428359. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8300 ESTERS BLVD STE 900
IRVING, TX
ZIP 75063-233
Phone: (415) 424-4266

The provider's authorized official is Robert J Darzynkiewicz .
The authorized official title is President and has the following contact phone number (530) 913-2197.

The CLIA number assigned to this NPI record is 45D2240809 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2022 and was last updated on 2/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YP2500X	Counselor	Professional	No
2	1041C0700X	Social Worker	Clinical	No
3	106H00000X	Marriage & Family Therapist		No
4	101YM0800X	Counselor	Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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