| Indlovu, Llc | |
|
255 S 17th St Fl 9 Philadelphia PA 19103-6209 | |
| (610) 306-0736 | |
| Not Available |
| Full Name | Indlovu, Llc |
|---|---|
| Speciality | Counselor |
| Location | 255 S 17th St Fl 9, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Kiersten Schumacher (OWNER) |
| Authorized Official Contact | 6103060736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indlovu, Llc 106 Black Horse Aly Philadelphia PA 19106-3121 Ph: (610) 306-0736 | Indlovu, Llc 255 S 17th St Fl 9 Philadelphia PA 19103-6209 Ph: (610) 306-0736 |
| NPI Number | 1619661584 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Medicare PECOS PAC ID | 2961853353 |
|---|---|
| Medicare Enrollment ID | O20240110002577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619661584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Julia Katherine Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043883846 PECOS PAC ID: 6204287600 Enrollment ID: I20240110002732 |
| Provider Name | Lauren Ivy Rosenthal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174240246 PECOS PAC ID: 5698126084 Enrollment ID: I20240110002794 |
| Provider Name | Amber Nicole Ransom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063284255 PECOS PAC ID: 1355792755 Enrollment ID: I20240110002835 |
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