Provider Demographics
NPI:1750143525
Name:REYES ACOSTA, SCARLET NOHEMI (FUNDACION DRASCARLET)
Entity type:Individual
Prefix:MS
First Name:SCARLET
Middle Name:NOHEMI
Last Name:REYES ACOSTA
Suffix:
Gender:F
Credentials:FUNDACION DRASCARLET
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 HAINES RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-3507
Mailing Address - Country:US
Mailing Address - Phone:717-586-7571
Mailing Address - Fax:
Practice Address - Street 1:701 HAINES RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3507
Practice Address - Country:US
Practice Address - Phone:717-586-7571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty