| Devine Interventions Group | |
|
6757 Greene Street Offices At Summit Prebyterian, Suite 200-c Philadelphia PA 19119-3711 | |
| (855) 410-8120 | |
| (215) 874-8897 |
| Full Name | Devine Interventions Group |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6757 Greene Street, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Gary James Devine (LPC) |
| Authorized Official Contact | 2674280321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devine Interventions Group 6757 Greene Street Offices At Summit Prebyterian, Suite 200-c Philadelphia PA 19119-3711 Ph: (855) 410-8120 | Devine Interventions Group 6757 Greene Street Offices At Summit Prebyterian, Suite 200-c Philadelphia PA 19119-3711 Ph: (855) 410-8120 |
| NPI Number | 1245766690 |
|---|---|
| Provider Enumeration Date | 05/04/2017 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245766690 | NPI | - | NPPES |
| PC007555 | Other | PA | LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC007555 (Pennsylvania) | Primary |
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