Mh Tx Options, Llc | |
3029 Teesdale St Philadelphia PA 19152-4524 | |
(267) 563-8795 | |
Not Available |
Full Name | Mh Tx Options, Llc |
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Speciality | Social Worker |
Location | 3029 Teesdale St, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Kiyana Bass (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2675638795 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mh Tx Options, Llc 3029 Teesdale St Philadelphia PA 19152-4524 Ph: () - | Mh Tx Options, Llc 3029 Teesdale St Philadelphia PA 19152-4524 Ph: (267) 563-8795 |
NPI Number | 1689377608 |
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Provider Enumeration Date | 03/27/2023 |
Last Update Date | 03/28/2023 |
Certification Date | 03/28/2023 |
Medicare PECOS PAC ID | 5597127670 |
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Medicare Enrollment ID | O20230822001798 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689377608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kiyana Bass |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609366848 PECOS PAC ID: 3375891989 Enrollment ID: I20180730001399 |
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