| Evergreen Therapy Collective | |
|
210 E Evergreen Ave Philadelphia PA 19118-2823 | |
| (860) 682-4714 | |
| Not Available |
| Full Name | Evergreen Therapy Collective |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 210 E Evergreen Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Katherine Hostetter (OWNER) |
| Authorized Official Contact | 8606824714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Therapy Collective 1417 Bethlehem Pike Flourtown PA 19031-1904 Ph: () - | Evergreen Therapy Collective 210 E Evergreen Ave Philadelphia PA 19118-2823 Ph: (860) 682-4714 |
| NPI Number | 1528824380 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528824380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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