| Healthy Minds Mental Health Counseling Services Pllc | |
|
2120 E Sergeant St Philadelphia PA 19125-1729 | |
| (646) 327-2059 | |
| Not Available |
| Full Name | Healthy Minds Mental Health Counseling Services Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2120 E Sergeant St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Juan Peralta (DIRECTOR) |
| Authorized Official Contact | 6463272059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Minds Mental Health Counseling Services Pllc 2120 E Sergeant St Philadelphia PA 19125-1729 Ph: (646) 327-2059 | Healthy Minds Mental Health Counseling Services Pllc 2120 E Sergeant St Philadelphia PA 19125-1729 Ph: (646) 327-2059 |
| NPI Number | 1295482453 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Medicare PECOS PAC ID | 4385177898 |
|---|---|
| Medicare Enrollment ID | O20241023000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295482453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Juan Peralta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184012288 PECOS PAC ID: 5294268702 Enrollment ID: I20241023000179 |
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