| Epiphany Counseling And Consulting | |
|
225 Presidential Blvd Ste 103 Bala Cynwyd PA 19004-1258 | |
| (215) 356-4033 | |
| Not Available |
| Full Name | Epiphany Counseling And Consulting |
|---|---|
| Speciality | Social Worker |
| Location | 225 Presidential Blvd Ste 103, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Candace Warren (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2157404236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Counseling And Consulting 4067 Balwynne Park Rd Philadelphia PA 19131-1601 Ph: (215) 740-4236 | Epiphany Counseling And Consulting 225 Presidential Blvd Ste 103 Bala Cynwyd PA 19004-1258 Ph: (215) 356-4033 |
| NPI Number | 1356907745 |
|---|---|
| Provider Enumeration Date | 05/12/2019 |
| Last Update Date | 07/13/2022 |
| Certification Date | 07/13/2022 |
| Medicare PECOS PAC ID | 7618358227 |
|---|---|
| Medicare Enrollment ID | O20220713003408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356907745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Candace Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588115422 PECOS PAC ID: 8527449131 Enrollment ID: I20220713003688 |
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