LIFEBACK OF PENNSYLVANIA, LLC (NPI# 1457879520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457879520 |
| Entity Type | Organization |
| Organization Name | LIFEBACK OF PENNSYLVANIA, LLC |
| Practice Address |
10 Clinton Stree Suite 100 Doylestown PA 18901 |
| Practice Telephone | 6094823701 |
| Practice Fax Number | 2159757300 |
| Mailing Telephone | 6094823701 |
| Mailing Fax Number | 2159757300 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | MARINETTA SEROTTE (PRESIDENT) |
| Authorized Official Telephone | 6094823701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
10 CLINTON STREE SUITE 100 |
| City | DOYLESTOWN |
| State | PA |
| Zip Code | 18901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1386283117 | Edward D. Strouse | Registered Nurse | 217 Windsor Way, Doylestown, PA 18901 | 2019-12-26 |
| 1922641265 | Amanda Keenan Counseling, LLC | Counselor | 10 S. Clinton St, Suite 108, Doylestown, PA 18901 | 2019-10-18 |
| 1366968240 | Joyce G. Cooney | Counselor | 18 N. Main Street, Doylestown, PA 18901 | 2017-08-22 |
| 1114440542 | 1 and Only LLC | Case Management | 102 W Butler Ave, Doylestown, PA 18901 | 2017-07-18 |
| 1902279532 | Goodventures, Inc. Dba Always Best Care Senior Services Upper Buxmont | In Home Supportive Care | 615 Farm Lane, Doylestown, PA 18901 | 2015-11-04 |
| 1568841187 | Elizabeth Turner Stinson | Psychologist | 37 S. Clinton St., Doylestown, PA 18901 | 2015-05-28 |
| 1831593060 | Valerie Fahie | Counselor | 107 North Broad Street, Doylestown, PA 18901 | 2014-10-17 |
| 1023366911 | Center for Natural Healing | Chiropractor | 252 W. Swamp Rd, Bailiwick Office Campus, Suite 26, Doylestown, PA 18901 | 2012-08-27 |
| 1356605174 | Dina Susan Ricciardi | Social Worker | 112 Mary Street, Doylestown, PA 18901 | 2012-06-26 |
| Find all providers in zip 18901 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700010329 | Edison Court, Inc | Clinic/Center | 350 S Main St, Suite 213, Doylestown, PA 18901-4871 | 2009-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679915 | Natick Counseling | Clinic/Center | 41 University Drive, Suite 428, Newtown, PA 18940 | 2020-11-04 |
| 1235738360 | Hallie M. Kushner, Ph.d. P.C. | Clinic/Center | 1601 Walnut St Ste 706, Philadelphia, PA 19102-2904 | 2020-10-20 |
| 1780291062 | Grasta Counseling Services, LLC | Clinic/Center | 321 Spruce St Ste 502, Scranton, PA 18503-1445 | 2020-09-30 |
| 1114534328 | Virtual Sofa, LLC | Clinic/Center | 2005 Market St Ste 3140, Philadelphia, PA 19103-7001 | 2020-09-30 |
| 1033725569 | Deirdre Razzi, Lcsw | Clinic/Center | 207 W Plumstead Ave, Lansdowne, PA 19050-1120 | 2020-09-21 |
| 1760096267 | Gail R. Ludwig | Clinic/Center | 689 Oxford Blvd, Pittsburgh, PA 15243-1637 | 2020-09-02 |
| 1922611086 | K.a.d. Counseling, LLC | Clinic/Center | 32 S Broad St Fl 2nd, Nazareth, PA 18064-2117 | 2020-08-28 |
| 1861002461 | Maternal Wellness Center LLC | Clinic/Center | 67 Byberry Rd, Hatboro, PA 19040-3205 | 2020-08-07 |
| 1104435536 | Finding Peace of The Poconos LLC | Clinic/Center | 310 Miller Rd, Stroudsburg, PA 18360-8407 | 2020-07-31 |
| 1942819958 | Shay Selden, Psyd, Med, LLC | Clinic/Center | 1411 S 15th St, Philadelphia, PA 19146-4803 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | DOYLESTOWN |
| Zip Code | 18901 |
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| 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.