| Growth Thru Change Llc | |
|
1625 South St Philadelphia PA 19146-1541 | |
| (215) 337-3993 | |
| (215) 337-3993 |
| Full Name | Growth Thru Change Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1625 South St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Stefanie Sophia Brandstetter (CEO) |
| Authorized Official Contact | 2153373993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth Thru Change Llc 1625 South St Philadelphia PA 19146-1541 Ph: (215) 337-3993 | Growth Thru Change Llc 1625 South St Philadelphia PA 19146-1541 Ph: (215) 337-3993 |
| NPI Number | 1922814698 |
|---|---|
| Provider Enumeration Date | 12/09/2024 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922814698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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