Provider Demographics
NPI:1104556620
Name:UNIZON MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:UNIZON MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:RITTFELDT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:570-406-1107
Mailing Address - Street 1:35 E LAFAYETTE PL
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702-2250
Mailing Address - Country:US
Mailing Address - Phone:570-406-1107
Mailing Address - Fax:
Practice Address - Street 1:341 WYOMING AVE STE 8
Practice Address - Street 2:
Practice Address - City:WEST PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18643-2839
Practice Address - Country:US
Practice Address - Phone:445-255-7877
Practice Address - Fax:802-284-3210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty