Healthcare Provider Details

I. General information

NPI: 1083177349
Provider Name (Legal Business Name): THINKING IT THROUGH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2019
Last Update Date: 04/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 N CHURCH ST STE G004
HAZLETON PA
18201-2901
US

IV. Provider business mailing address

PO BOX 37
HARLEIGH PA
18225-0037
US

V. Phone/Fax

Practice location:
  • Phone: 570-401-1534
  • Fax: --
Mailing address:
  • Phone: 570-401-1534
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. MARA J MCLAUGHLIN-GOMBEDA
Title or Position: SOCIAL WORKER
Credential: LCSW
Phone: 570-401-1534