Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wilkes Barre Behavioral Hospital Company LLC

Organization Registered Nurse · NPI 1073842936

Wilkes Barre Behavioral Hospital Company LLC is a Registered Nurse in Kingston, Pennsylvania. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

562 Wyoming Ave
Kingston, PA 18704-3721
Phone: (570) 552-3700
Fax: (570) 552-3733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Registered Nurse Taxonomy 163W00000X

Record details

NPI number1073842936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurie Holtsford — Authorized Official · (615) 465-7466
NPI enumeratedDecember 23, 2009
Last updated in NPPESDecember 23, 2009
Mailing address562 Wyoming Ave, Kingston, PA 18704-3721

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