| Aviva Mental Health Services Inc | |
|
320 Macdade Blvd Ste 205 Collingdale PA 19023-1926 | |
| (610) 522-4506 | |
| (610) 522-4508 |
| Full Name | Aviva Mental Health Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 320 Macdade Blvd Ste 205, Collingdale, Pennsylvania |
| Authorized Official Name and Position | Susmaria Charles (DIRECTOR) |
| Authorized Official Contact | 6105224506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aviva Mental Health Services Inc 320 Macdade Blvd Ste 205 Collingdale PA 19023-1926 Ph: (610) 522-4506 | Aviva Mental Health Services Inc 320 Macdade Blvd Ste 205 Collingdale PA 19023-1926 Ph: (610) 522-4506 |
| NPI Number | 1063005965 |
|---|---|
| Provider Enumeration Date | 02/11/2021 |
| Last Update Date | 02/11/2021 |
| Certification Date | 02/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063005965 | NPI | - | NPPES |
| 1083110605 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Aviva Mental Health Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 320 Macdade Blvd, Suite #205, Collingdale, PA 19023 Phone: 610-522-4506 Fax: 610-522-4507 | |
Aviva Mental Health Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 S Macdade Blvd # 105, Collingdale, PA 19023 Phone: 610-522-4506 Fax: 610-522-4508 |