Second Haven Services For Youth Inc.
Prescribing (Medical) - Psychology Clinic
633 Lakeside Dr, Tobyhanna
Pennsylvania, 18466-9792
866-343-5509 866-343-5509
Maps & DirectionsSecond Haven Services For Youth Inc. is a Prescribing (Medical) - Psychology Clinic in Tobyhanna, Pennsylvania. It is located at 633 Lakeside Dr, Tobyhanna, PA and its contact number is 866-343-5509. The authorized person for Second Haven Services For Youth Inc. is Mr. William Freeman Iv
who is Executive Director of the clinic and his/her contact number is 866-343-5509. The primary license number for Second Haven Services For Youth Inc. is 221370 (Residential Treatment Facility, Emotionally Disturbed Children) in Pennsylvania.
Second Haven Services For Youth Inc. Clinic is a licensed psychologist who has completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and is authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders.
Complete Clinic Profile:
Second Haven Services For Youth Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Second Haven Services For Youth Inc. |
| Specialization: | Prescribing (Medical) Psychology |
| Clinic Address: | 633 Lakeside Dr, Tobyhanna,
Pennsylvania, 18466-9792 |
| Phone: | 866-343-5509 |
| Fax: | 866-343-5509 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. William Freeman Iv |
| Position: | Executive Director |
| Contact Number: | 866-343-5509 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Second Haven Services For Youth Inc. clinic are as mentioned below.
| NPI Number: | 1053649178 |
| NPI Enumeration Date: | 01 Dec, 2009 |
| NPI Last Update On: | 09 Feb, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Second Haven Services For Youth Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Residential Treatment Facility, Emotionally Disturbed Children | 221370 | Pennsylvania | Primary | |
| Prescribing (Medical) | MD037460L | Pennsylvania | Secondary | |
| Community Based Residential Treatment, Mental Retardation And/or Developmental Disabilities | 223180 | Pennsylvania | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Second Haven Services For Youth Inc.
Po Box 329,
Mount Pocono, Pennsylvania |
| Zip: | 18344-0329 |
| Phone Number: | 866-343-5509 |
| Fax Number: | 866-343-5509 |
Patients can reach Second Haven Services For Youth Inc. at
633 Lakeside Dr, Tobyhanna, Pennsylvania or can
call to book an appointment on 866-343-5509.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.