| Bodhi Counseling Group Llc | |
|
122 W Lancaster Ave Ste 205 Shillington PA 19607-1874 | |
| (610) 804-8909 | |
| (610) 670-2953 |
| Full Name | Bodhi Counseling Group Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 122 W Lancaster Ave Ste 205, Shillington, Pennsylvania |
| Authorized Official Name and Position | Dorothy E Putnam-baker (OWNER) |
| Authorized Official Contact | 6108048909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodhi Counseling Group Llc 122 W Lancaster Ave Ste 205 Shillington PA 19607-1874 Ph: (610) 804-8909 | Bodhi Counseling Group Llc 122 W Lancaster Ave Ste 205 Shillington PA 19607-1874 Ph: (610) 804-8909 |
| NPI Number | 1659789113 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 10/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659789113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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