WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC (NPI# 1275981573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275981573 |
| Entity Type | Organization |
| Organization Name | WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC |
| Practice Address |
480 Pierce St 316-317 Kingston PA 18704-5512 |
| Mailing Address |
437 N Main St Wilkes Barre PA 18705-1613 |
| Practice Telephone | 5708208888 |
| Mailing Telephone | 5708208888 |
| Mailing Fax Number | 5708208899 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | JASON HARLEN (CEO) |
| Authorized Official Telephone | 5708208888 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
407063 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669568770 | Wyoming Valley Alcohol and Drug Services Inc | Counselor | 437 North Main St., Wilkes Barre, PA 18705 | 2006-10-05 |
| Street Address |
480 PIERCE ST 316-317 |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451591 | Paul Thomas Taren | Psychologist | 480 Pierce St, Suite 115, Kingston, PA 18704-5512 | 2005-07-20 |
| 1649881665 | Jamie Judge | Social Worker | 480 Pierce St, Kingston, PA 18704-5512 | 2020-08-13 |
| 1174971527 | Griswold International, LLC | In Home Supportive Care | 480 Pierce St, Kingston, PA 18704-5512 | 2016-05-26 |
| 1891036117 | Matrix Wound Supply | Durable Medical Equipment & Medical Supplies | 480 Pierce St, Suite 101, Kingston, PA 18704-5512 | 2013-03-12 |
| 1144578758 | Diana Cuello | Psychologist | 480 Pierce St, Suite 305, Kingston, PA 18704-5512 | 2012-08-29 |
| 1508111881 | Debra A Pavlico | Counselor | 480 Pierce St, New Bridge Center, Suite 206, Kingston, PA 18704-5512 | 2012-07-23 |
| 1699034934 | Stephen M. Timchack, Psyd, P.C. | Psychologist | 480 Pierce St, Suite 119, Kingston, PA 18704-5512 | 2012-05-07 |
| 1467723866 | Blaum Breast Care Specialist LLC | Surgery | 480 Pierce St, New Bridge Center, Suite #312-314, Kingston, PA 18704-5512 | 2012-01-18 |
| 1699912691 | Abby Russin, Ph.d., LLC | Psychologist | 480 Pierce St, Suite 119, Kingston, PA 18704-5756 | 2009-01-13 |
| 1023281557 | Stephen M Timchack | Counselor | 480 Pierce St, Suite 119, Kingston, PA 18704-5512 | 2008-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386267490 | A Prodigal's Path 2 Recovery, Inc. | Counselor | 107 Paint Rock Ferry Rd, Kingston, TN 37763-2921 | 2020-05-22 |
| 1235641705 | Reba Lee Harris | Counselor | 7550 Little Boston Road N.e, Kingston, WA 98346 | 2017-10-24 |
| 1386989838 | Shawna Fanning | Counselor | 161 Summer St Ste 7, Kingston, MA 02364-1275 | 2012-12-10 |
| 1639481633 | Karen Holcomb | Counselor | 400 3rd Ave Ste 308, Kingston, PA 18704-5816 | 2010-07-07 |
| 1992973754 | Courtney Elizabeth Oliver | Counselor | 31912 Little Boston Rd Ne, Port Gamble Sklallam Tribe, Kingston, WA 98346-9700 | 2008-02-14 |
| 1831297670 | James M Sullivan | Counselor | 28 Ocean Hill Dr, Kingston, MA 02334 | 2006-09-20 |
| 1831718501 | Constance Marie Carr | Counselor | 144 Pine St Ste 140, Kingston, NY 12401-4946 | 2020-04-13 |
| 1336603026 | Jason Raydr-scott Gomez | Counselor | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2019-01-26 |
| 1366927071 | Rebecca Vanduzer | Counselor | 3 Family Practice Dr, Kingston, NY 12401-6449 | 2018-09-27 |
| 1942734884 | Adam Jackson | Counselor | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2017-04-18 |
| Find all providers in KINGSTON | ||||
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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.