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100 Park Ave Rear 1 Swarthmore PA 19081-1729 | |
| (215) 385-5158 | |
| (610) 874-2675 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Park Ave Rear 1, Swarthmore, Pennsylvania |
| Authorized Official Name and Position | Heather M Bellini (OWNER) |
| Authorized Official Contact | 5098684840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
104 Canterbury Dr Wallingford PA 19086-6616 Ph: (509) 868-4840 | 100 Park Ave Rear 1 Swarthmore PA 19081-1729 Ph: (215) 385-5158 |
| NPI Number | 1225887003 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 12/12/2024 |
| Certification Date | 11/17/2024 |
| Medicare PECOS PAC ID | 2264979533 |
|---|---|
| Medicare Enrollment ID | O20240808000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225887003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Heather Bellini |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427354547 PECOS PAC ID: 3274074372 Enrollment ID: I20240917000936 |
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