| Hosanna Ministries Inc | |
|
1600 W Hunting Park Ave Philadelphia PA 19140-2900 | |
| (215) 221-4188 | |
| Not Available |
| Full Name | Hosanna Ministries Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1600 W Hunting Park Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Desmond Maul (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2152214188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hosanna Ministries Inc Po Box 38152 Philadelphia PA 19140-0152 Ph: (215) 221-4188 | Hosanna Ministries Inc 1600 W Hunting Park Ave Philadelphia PA 19140-2900 Ph: (215) 221-4188 |
| NPI Number | 1235293168 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235293168 | NPI | - | NPPES |
| AETNA | Other | PA | PSYCHOLOGICAL SERVICES |
| HIGHMARK | Other | PA | PSYCHOLOGICAL SERVICES |
| UNITED HEALTHCARE | Other | PSYCHOLOGICAL SERVICES | |
| PERSONNALCHOICE | Other | PA | PSYCHOLOGICAL SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MFT000266 (Pennsylvania) | Primary |
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