| Connected Family Services Llc | |
|
527 Hamilton St Ste 201 Allentown PA 18101-1511 | |
| (484) 284-0342 | |
| Not Available |
| Full Name | Connected Family Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 527 Hamilton St Ste 201, Allentown, Pennsylvania |
| Authorized Official Name and Position | Sophia Sealy Ulett (THERAPIST) |
| Authorized Official Contact | 4842840342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connected Family Services Llc 1636 N Cedar Crest Blvd # 148 Allentown PA 18104-2318 Ph: () - | Connected Family Services Llc 527 Hamilton St Ste 201 Allentown PA 18101-1511 Ph: (484) 284-0342 |
| NPI Number | 1518523349 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 01/09/2020 |
| Certification Date | 01/09/2020 |
| Medicare PECOS PAC ID | 3678923083 |
|---|---|
| Medicare Enrollment ID | O20231227003233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518523349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Sophia Sealy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003370370 PECOS PAC ID: 4587014998 Enrollment ID: I20231227003277 |
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