MRS. LUISA TIESO


Address: 6167 Somers Terr, Tobyhanna, PA 18466
Phone: (862) 432-0980

MRS. LUISA TIESO (NPI# 1144743873) 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) 1144743873
Entity Type Individual
Full Name MRS. LUISA TIESO
Practice Address 6167 Somers Terr
Tobyhanna
PA 18466
Mailing Address 6167 Somers Ter
Tobyhanna
PA 18466-3227
Practice Telephone (862) 432-0980
Mailing Telephone 8624320980
Enumeration Date 2017-07-25
Last Update Date 2017-07-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers
Y 251S00000X Community/Behavioral Health BH003283 PA Agencies

Office Location

Street Address 6167 SOMERS TERR
City TOBYHANNA
State PA
Zip Code 18466

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1982087797 Patricia Detrick Physical Therapy Assistant 100 Communtiy Drive, Suite 105, Tobyhanna, PA 18466 2015-06-30
1376959569 Mountain Valley Orthopedics PC Pharmacy 100 Community Drive Stuite 210, Tobyhanna, PA 18466 2014-07-08
1346674975 Michelle Backus Social Worker 633 Lakeside Drive, Tobyhanna, PA 18466 2013-08-30
1205107067 Sharon and Cynthia Home Health 9249 Westwood Dr, Tobyhanna, PA 18466 2012-01-25
1689942260 Family Care Centers, Inc. Internal Medicine 100 Community Drive, Suite 102, Tobyhanna, PA 18466 2011-12-09
1942599063 Diane Latosek Pharmacist 12 Carriage Square, Tobyhanna, PA 18466 2011-03-29
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730325689 New Alternative Human Services Community/Behavioral Health 633b Lakeside Dr, Tobyhanna, PA 18466-9792 2008-12-24

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NPI Name Taxonomy Address Enumeration
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1821699240 Eternal Renewal, LLC Community/Behavioral Health 501 N Charlotte St Fl 2, Pottstown, PA 19464-4602 2020-11-03
1417557174 Kensington Hospital Non Hospital Short Term/long Term Rehab Community/Behavioral Health 136 W. Diamond St, Philadelphia, PA 19122-1721 2020-10-30
1699373415 Maternity Care Coalition Community/Behavioral Health 401 Dekalb St, Norristown, PA 19401-4909 2020-10-14
1558969741 Centerville Clinics Inc Community/Behavioral Health Centerville Clinics-intensive Behavioral Health Service, 37 Highland Avenue, Washington, PA 15301-4062 2020-10-12
1023624202 Allied Health Care Services Community/Behavioral Health 1124 Scott St, Wilkes Barre, PA 18705-3737 2020-09-22
1518573708 Mental Health Solution Community/Behavioral Health 2671 Darlington Rd, Beaver Falls, PA 15010-1280 2020-09-22
1629684584 Peace & Clarity Counseling LLC Community/Behavioral Health 1 E Broad St Ste 130-1096, Bethlehem, PA 18018-5913 2020-09-16
1548874746 Room 2 Grow, LLC Community/Behavioral Health 7500 Brooktree Rd Ste 201, Wexford, PA 15090-9285 2020-09-04
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Competitor

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City TOBYHANNA
Zip Code 18466

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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.

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