Jean Pollack
LBN: Innovative Counseling Services
Jean Pollack is an health care organization with primary practice located at 228 Broadway , Hanover PA 17331-2501. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
Innovative Counseling Services can be contacted via phone (888) 821-2935, or through Pollack, Jean F via phone (888) 821-2935.
Contact Information
Primary practice address
228 Broadway
Hanover PA 17331-2501
Phone: (888) 821-2935
Fax: (866) 470-6121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSOO6977 | Pennsylvania |
| Agencies / Community/Behavioral Health | 251S00000X | PS006977 | Pennsylvania |
Profile Details
| NPI number | 1417103912 |
|---|---|
| LBN Legal business name | Innovative Counseling Services |
| DBA Doing business as | Jean Pollack |
| Authorized official | Pollack, Jean F PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 15th, 2008 |
| Last updated | Mar 6th, 2012 - about 12 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 | 1417103912 | NPPES |
| Pennsylvania | MEDICAID | 0018496090001 |
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