| Divine Light Inc | |
|
25 Sharpnack Street Philadelphia PA 19119 | |
| (267) 278-1079 | |
| Not Available |
| Full Name | Divine Light Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 25 Sharpnack Street, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Sakina Dean (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2672781079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Light Inc 2211 Maryland Ave Baltimore MD 21218-5627 Ph: (267) 278-1079 | Divine Light Inc 25 Sharpnack Street Philadelphia PA 19119 Ph: (267) 278-1079 |
| NPI Number | 1164958328 |
|---|---|
| Provider Enumeration Date | 05/10/2017 |
| Last Update Date | 07/11/2022 |
| Certification Date | 07/11/2022 |
| Medicare PECOS PAC ID | 1759762651 |
|---|---|
| Medicare Enrollment ID | O20220725001210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164958328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Sheila T Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164944518 PECOS PAC ID: 4183023476 Enrollment ID: I20210518001948 |
Solis Physicians Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4692 Fax: 215-487-4274 | |
Apm Mental Health Psychiatric Outpatient Clinics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2921 N 5th St, Philadelphia, PA 19133 Phone: 215-259-3373 Fax: 267-329-9728 | |
University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Civic Center Blvd, 2 South Pavilion, Philadelphia, PA 19104 Phone: 215-614-1828 | |
The Phil.consultation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 S 16th St, Philadelphia, PA 19102 Phone: 215-732-8244 Fax: 215-732-8454 | |
Immanuel Care Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6641 Dorel St, Philadelphia, PA 19142 Phone: 267-403-8313 | |
Npsyt Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6327 Burbridge St, Philadelphia, PA 19144 Phone: 215-991-9066 Fax: 215-991-9062 | |
Menergy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 Germantown Ave, New Covenant Campus, Elders Hall, Suite 5, Philadelphia, PA 19119 Phone: 215-242-2235 |