Provider Demographics
NPI:1164506820
Name:LITRAS, LARRY (LCSWR, CAC, CASAC)
Entity type:Individual
Prefix:MR
First Name:LARRY
Middle Name:
Last Name:LITRAS
Suffix:
Gender:M
Credentials:LCSWR, CAC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:778 BLUE MOUNTAIN LK
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-7920
Mailing Address - Country:US
Mailing Address - Phone:570-972-0695
Mailing Address - Fax:
Practice Address - Street 1:RR 3 BOX 3406
Practice Address - Street 2:KIDSPEACE
Practice Address - City:SAYLORSBURG
Practice Address - State:PA
Practice Address - Zip Code:18353-9632
Practice Address - Country:US
Practice Address - Phone:610-381-3400
Practice Address - Fax:610-381-2531
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7789101YA0400X
PA6841101YA0400X
NYR056430-11041C0700X
PACW0158581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)