| Lisa Stepelevich, Llc | |
|
123 S Broad St Ste 2015 Philadelphia PA 19109-1055 | |
| (610) 804-3431 | |
| Not Available |
| Full Name | Lisa Stepelevich, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 123 S Broad St Ste 2015, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Lisa Stepelevich (OWNER) |
| Authorized Official Contact | 6108043431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Stepelevich, Llc 123 S Broad St Ste 2015 Philadelphia PA 19109-1055 Ph: (610) 804-3431 | Lisa Stepelevich, Llc 123 S Broad St Ste 2015 Philadelphia PA 19109-1055 Ph: (610) 804-3431 |
| NPI Number | 1518773092 |
|---|---|
| Provider Enumeration Date | 12/09/2024 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518773092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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