| Enspire Consulting Group-fort Washington Llc | |
|
1811 Bethlehem Pike Unit A102 Flourtown PA 19031-1111 | |
| (215) 845-5869 | |
| Not Available |
| Full Name | Enspire Consulting Group-fort Washington Llc |
|---|---|
| Speciality | Counselor |
| Location | 1811 Bethlehem Pike Unit A102, Flourtown, Pennsylvania |
| Authorized Official Name and Position | Frank Edwards (OWNER) |
| Authorized Official Contact | 2158455869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enspire Consulting Group-fort Washington Llc 1811 Bethlehem Pike Unit A102 Flourtown PA 19031-1111 Ph: () - | Enspire Consulting Group-fort Washington Llc 1811 Bethlehem Pike Unit A102 Flourtown PA 19031-1111 Ph: (215) 845-5869 |
| NPI Number | 1194411793 |
|---|---|
| Provider Enumeration Date | 04/17/2023 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/15/2023 |
| Medicare PECOS PAC ID | 4880050749 |
|---|---|
| Medicare Enrollment ID | O20230918001507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194411793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Doreen Thomas Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285235663 PECOS PAC ID: 8325440720 Enrollment ID: I20210707003680 |
| Provider Name | Robert C Glenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902033210 PECOS PAC ID: 9335328467 Enrollment ID: I20230620001150 |
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