Gillum Psychological & Counseling Services
LBN: Gillum Psychological & Counseling Services
Gillum Psychological & Counseling Services is an health care organization with primary practice located at 454 Pine St Suite 1B, Williamsport PA 17701-6200. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
Gillum Psychological & Counseling Services can be contacted via phone (570) 321-6390, or through Gillum, Michael W. via phone (570) 321-6390.
Contact Information
Primary practice address
454 Pine St Suite 1B
Williamsport PA 17701-6200
Phone: (570) 321-6390
Fax: (570) 321-6393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS007825L | Pennsylvania |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | SW129735 | Pennsylvania |
Profile Details
| NPI number | 1891115119 |
|---|---|
| LBN Legal business name | Gillum Psychological & Counseling Services |
| DBA Doing business as | |
| Authorized official | Gillum, Michael W. Master of Arts (MA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2014 |
| Last updated | Apr 25th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891115119 | NPPES |
| Pennsylvania | MEDICAID | 1028463370001 |
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