Meckbach, Elise Kathryn

Meckbach, Elise Kathryn is an sole proprietor health care provider with primary practice located at 1205 River Ave Fl 2 , Williamsport PA 17701-3724. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Meckbach, Elise Kathryn can be contacted via phone (570) 326-4118.

Contact Information

Primary practice address
1205 River Ave Fl 2 Williamsport PA 17701-3724
Phone: (570) 326-4118
Fax: (570) 326-5533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PC005997 Pennsylvania
Behavioral Health & Social Service Providers / Professional 101YP2500X PC005997 Pennsylvania

Profile Details

NPI number 1265696801
LBN Legal business name Meckbach, Elise Kathryn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2008
Last updated Apr 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265696801 NPPES
Pennsylvania MEDICAID 1035098140001

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