Center For Racial & Health Equity Llc - Mental Health Clinic in Philadelphia, PA

Center For Racial & Health Equity Llc is a mental health clinic (Counselor - Professional) in Philadelphia, Pennsylvania. The current practice location for Center For Racial & Health Equity Llc is 1100 S Broad St Unit 5a, Philadelphia, Pennsylvania. For appointments, you can reach them via phone at (484) 362-0105. The mailing address for Center For Racial & Health Equity Llc is 200 Barr Harbor Dr Ste 400, Conshohocken, Pennsylvania and phone number is (484) 362-0105.

Center For Racial & Health Equity Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1265242135. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (484) 362-0105.

Contact Information

Center For Racial & Health Equity Llc
1100 S Broad St Unit 5a
Philadelphia
PA 19146-5059
(484) 362-0105
(484) 362-0105

Map and Direction


Mental Health Clinic Profile

Full NameCenter For Racial & Health Equity Llc
SpecialityCounselor - Professional
Location1100 S Broad St Unit 5a, Philadelphia, Pennsylvania
Authorized Official Name and PositionShane Janelle Gill (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact4843620105
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Center For Racial & Health Equity Llc
200 Barr Harbor Dr Ste 400
Conshohocken
PA 19428-2978

Ph: (484) 362-0105
Center For Racial & Health Equity Llc
1100 S Broad St Unit 5a
Philadelphia
PA 19146-5059

Ph: (484) 362-0105

NPI Details:

NPI Number1265242135
Provider Enumeration Date01/13/2025
Last Update Date01/13/2025
Certification Date01/08/2025

Medical Identifiers

Medical identifiers for Center For Racial & Health Equity Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265242135NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YP2500XCounselor - Professional (* (Not Available))Primary
101YS0200XCounselor - School (* (Not Available))Secondary
104100000XSocial Worker (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
1041S0200XSocial Worker - School (* (Not Available))Secondary
171M00000XCase Manager/care Coordinator (* (Not Available))Secondary
2084A0401XPsychiatry & Neurology - Addiction Medicine (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.