MEDICARE: MAINSTREAM COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1720131311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAINSTREAM COUNSELING

Provider Business Mailing Address
First Line	:	900 WASHINGTON ST
Second Line	:
City	:	HUNTINGDON
State	:	PA
Zip	:	16652-1826
Country	:	US
Telephone Number	:	814-643-1114
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 WASHINGTON ST
Second Line	:
City	:	HUNTINGDON
State	:	PA
Zip	:	16652-1826
Country	:	US
Telephone Number	:	814-643-1114
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LONNIE WOOMER
Credential	:	L.C.S.W.
Telephone Number	:	814-643-1114

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	02/18/2016

Similar Medicare Providers

1063476299 — MS. TAMMY E. CARLSON-LITTLE D.P.M.
Practice Location Address:

1201 MOORE ST
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16652-1826

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1720189194 — LONNIE ANN WAGNER WOOMER LCSW
Practice Location Address:

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1447319819 — DR. WILLIAM C. FRAZIER II D.M.D.
Practice Location Address:

920 WASHINGTON ST
HUNTINGDON, PA
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1588716096 — RAYSTOWN PODIATRY LLC
Practice Location Address:

1201 MOORE ST
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1740329218 — RAYSTOWN PODIATRY ASSOCIATES
Practice Location Address:

908 WASHINGTON ST
HUNTINGDON, PA
16652-1826

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1285804583 — MRS. BETHANY LAURA KYPER MSW, LSW
Practice Location Address:

900 WASHINGTON ST
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16652-1826

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Directions to “MAINSTREAM COUNSELING ” Practice Location

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