MAIN LINE TREATMENT, LLC


Address: 1410 Russell Rd Ste 205, Paoli, PA 19301-1200
Phone: 6104074666

MAIN LINE TREATMENT, LLC (NPI# 1083172803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083172803
Entity Type Organization
Organization Name MAIN LINE TREATMENT, LLC
Other Organization Name MAIN LINE TREATMENT, LLC
Practice Address 1410 Russell Rd Ste 205
Paoli
PA 19301-1200
Mailing Address 355 Highland Ave
Berwyn
PA 19312-1600
Practice Telephone 6104074666
Practice Fax Number 6104074666
Mailing Telephone 6104169444
Mailing Fax Number 6104074666
Enumeration Date 2019-03-11
Last Update Date 2019-03-16
Authorized Official Name MR. TIMOTHY P BOYLE (PRESIDENT)
Authorized Official Telephone 6104169444
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Main Line Treatment, LLC Doing Business As Name - Organization

Office Location

Street Address 1410 RUSSELL RD STE 205
City PAOLI
State PA
Zip Code 19301-1200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730291865 Timothy P Boyle Counselor 1410 Russell Rd Ste 205, Paoli, PA 19301-1200 2006-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588280333 Mary Callery Physical Therapy Assistant 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 2020-06-17
1871097519 Daniel Malloy-good Social Worker 45 Darby Rd Ste E4, Paoli, PA 19301 2018-03-19
1306354774 Patricia Obilo-azandegbe Counselor 30 S Valley Rd Ste 101, Paoli, PA 19301 2018-01-18
1275992877 Jessica Bernard Physical Therapist 40 Darby Rd Ste 1, Paoli, PA 19301 2016-02-11
1730576364 Ushma Sheth Podiatrist 250 W Lancaster Ave Ste 225, Paoli, PA 19301 2015-04-21
1619371432 Miriam Leslie Brewer Physical Therapist 195 W Lancaster Ave #3, Paoli, PA 19301 2014-10-22
1447665393 Matthew Rementer Podiatrist 254 West Lancaster Ave, Paoli, PA 19301 2014-06-29
1720490915 Edward Anthony Romero Surgery 255 W Lancaster Ave Ste 332, Paoli, PA 19301 2014-05-22
1285053421 Jose Ethan Pulido Urology 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 2014-04-15
1093065849 Kathleen M Canfield Physician Assistant 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 2012-09-19
Find all providers in zip 19301

Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255409827 Rehab Management Inc Clinic/Center 1440 Russell Rd, Paoli, PA 19301-1236 2006-12-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841816204 Source Behavioral Health Services, LLC Clinic/Center 301 Oxford Valley Rd Ste 1302, Yardley, PA 19067-7706 2020-06-22
1780218594 Davis Archway Centers for Addiction Treatment, Inc. Clinic/Center 114 Courson Ln, Emlenton, PA 16373-2502 2020-03-02
1871125625 New Hope Community Medical Care LLC Clinic/Center 2602 W 9th St Ste 101, Chester, PA 19013-2089 2020-02-10
1528699931 Caron Outpatient Services, LLC Clinic/Center 401 Plymouth Rd Ste 325, Plymouth Meeting, PA 19462-1650 2020-02-04
1124658331 White Oak Wellness Clinic/Center 1966 Lincoln Way Ste 100, White Oak, PA 15131-2416 2020-01-16
1518517283 Peace Valley Recovery Clinic/Center 5230 York Rd, Doylestown, PA 18902-1736 2019-09-16
1841853256 Trinity Recovery LLP Clinic/Center 1311 E State St, Sharon, PA 16146-3246 2019-04-22
1861950909 Advanced Treatment Centers LLC Clinic/Center 60 Abele Rd Ste 1103, Bridgeville, PA 15017-3467 2019-03-07
1467918722 Melissa Francomacaro Clinic/Center 1035 W Walnut St Apt 2, Allentown, PA 18102-4847 2019-02-12
1205390325 Pyramid Health Care Inc. Clinic/Center 100 Upper Demunds Rd, Dallas, PA 18612-8811 2019-01-23
Find all providers with the same taxonomy

Competitor

Search similar providers

City PAOLI
Zip Code 19301

Improve Information

Please comment or provide details below to improve the information on MAIN LINE TREATMENT, LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches