Little Creek Outpatient Services LLC
NPI #1548716145 in Lake Ariel, Pennsylvania
Provider Information
- NPI Number
- 1548716145
- Entity Type
- Organization
- Organization Name
- Little Creek Outpatient Services LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Feb 21, 2024
Practice Location
- Address
- 473 EASTON TPKE STE 5
- City
- Lake Ariel
- State
- Pennsylvania
- ZIP Code
- 18436-4716
- Phone
- (570) 689-6068
Authorized Official
- Name
- KATHRYN MCKENDRY, MS, LPC, CCS
- Title
- CLINICAL/EXECUTIVE DIRECTOR
- Phone
- (570) 689-2043
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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