Sophia Park, | |
600 N Jackson St Ste 300, Media, PA 19063-2530 | |
(610) 808-9923 | |
Not Available |
Full Name | Sophia Park |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 600 N Jackson St Ste 300, Media, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427693357 | NPI | - | NPPES |
LICENSE | Other | PA | 000862 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 000862 (Pennsylvania) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120416000069 |
Mailing Address | Practice Location Address |
---|---|
Sophia Park, 600 N Jackson St Ste 300, Media, PA 19063-2530 Ph: (610) 808-9923 | Sophia Park, 600 N Jackson St Ste 300, Media, PA 19063-2530 Ph: (610) 808-9923 |
Shanae Farquharson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1055 E Baltimore Pike Ste 300, Media, PA 19063 Phone: 610-892-3800 | |
Ms. Elizabeth White Cuorato, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1033 N Providence Rd, Media, PA 19063 Phone: 610-566-4975 | |
Bethany M Lukban, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 22 State Rd, Media, PA 19063 Phone: 267-259-6665 | |
Robin Moss Greenberg, LCSW LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 36 E Front St, Media, PA 19063 Phone: 484-238-0204 | |
Taryn Cain-strobel, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 42 E Front St Ofc 4, Media, PA 19063 Phone: 302-753-9806 | |
Veronica J Herzog, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 N Monroe St, Media, PA 19063 Phone: 610-213-6534 |