Provider Demographics
NPI:1558341867
Name:PEOPLE IN NEED-LAWRENCE COUNTY
Entity type:Organization
Organization Name:PEOPLE IN NEED-LAWRENCE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:KISSICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-657-3303
Mailing Address - Street 1:2703 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-8645
Mailing Address - Country:US
Mailing Address - Phone:724-657-3303
Mailing Address - Fax:724-657-3326
Practice Address - Street 1:2703 W STATE ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-8645
Practice Address - Country:US
Practice Address - Phone:724-657-3303
Practice Address - Fax:724-657-3326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-20
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA400930101YM0800X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA317380OtherUPMC HEALTH PLAN
PA0007758127OtherAETNA BEHAVIORAL HEALTH
PA1007449820011Medicaid
PA000000212529OtherUNISON HEALTH PLAN
PA332310OtherVALUE OPTIONS
PA850486OtherHIGHMARK
PADG1033OtherRAILROAD MEDICARE/PALMETTO GBA
PA1007449820011OtherCBHNP
PA1892851OtherHIGHMARK DOCTOR
PA2173831OtherUNITED HEALTHCARE
PA1000689OtherCOMMUNITY CARE BEHAVIORAL
PA1007449820013Medicaid
PA259666000OtherMAGELLAN BEHAVIORALHEALTH
PA612225900OtherUS DEPARTMENT OF LABOR
PA830412OtherHIGHMARK
PA259666000OtherMAGELLAN BEHAVIORALHEALTH
PA850486OtherHIGHMARK
PA1007449820013Medicaid
PA1007449820011OtherCBHNP
PA332310OtherVALUE OPTIONS