| Heartfelt Interventions Llc | |
|
6023 Market St Philadelphia PA 19139-3880 | |
| (215) 834-3773 | |
| Not Available |
| Full Name | Heartfelt Interventions Llc |
|---|---|
| Speciality | Counselor |
| Location | 6023 Market St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Kareema Abdussalaam (OWNER) |
| Authorized Official Contact | 2158343773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartfelt Interventions Llc 1500 Chestnut St Ste 2 #1020 Philadelphia PA 19102-2700 Ph: (215) 834-3773 | Heartfelt Interventions Llc 6023 Market St Philadelphia PA 19139-3880 Ph: (215) 834-3773 |
| NPI Number | 1497435192 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Medicare PECOS PAC ID | 0941664775 |
|---|---|
| Medicare Enrollment ID | O20230913000957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497435192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Kareema Abdussalaam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881305688 PECOS PAC ID: 1850755687 Enrollment ID: I20230913001093 |
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