| Aviva Mental Health Services, Inc | |
|
17 S Macdade Blvd # 105 Collingdale PA 19023-1510 | |
| (610) 522-4506 | |
| (610) 522-4508 |
| Full Name | Aviva Mental Health Services, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 17 S Macdade Blvd # 105, Collingdale, Pennsylvania |
| Authorized Official Name and Position | Susmaria Charles (CLINICAL 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 17 S Macdade Blvd # 105 Collingdale PA 19023-1510 Ph: (610) 522-4506 | Aviva Mental Health Services, Inc 17 S Macdade Blvd # 105 Collingdale PA 19023-1510 Ph: (610) 522-4506 |
| NPI Number | 1760974679 |
|---|---|
| Provider Enumeration Date | 06/06/2018 |
| Last Update Date | 06/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760974679 | NPI | - | NPPES |
| 144120 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 144120 (Pennsylvania) | Primary |
Aviva Mental Health Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Macdade Blvd Ste 205, Collingdale, PA 19023 Phone: 610-522-4506 Fax: 610-522-4508 | |
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 |