Safe Haven Therapy & Coaching | |
822 Pine Street Ste 2f Philadelphia PA 19107-6187 | |
(267) 984-8585 | |
Not Available |
Full Name | Safe Haven Therapy & Coaching |
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Speciality | Counselor |
Location | 822 Pine Street, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Angela Kanner (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 2679848585 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Safe Haven Therapy & Coaching 822 Pine Street Ste 2f Philadelphia PA 19107-6187 Ph: (267) 984-8585 | Safe Haven Therapy & Coaching 822 Pine Street Ste 2f Philadelphia PA 19107-6187 Ph: (267) 984-8585 |
NPI Number | 1073373528 |
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Provider Enumeration Date | 03/21/2024 |
Last Update Date | 05/08/2024 |
Certification Date | 05/08/2024 |
Medicare PECOS PAC ID | 6507208790 |
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Medicare Enrollment ID | O20240520001362 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073373528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Angela Kanner |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1922587492 PECOS PAC ID: 8224470414 Enrollment ID: I20240520001750 |
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