| Mh Tx Options, Llc | |
|
3029 Teesdale St Philadelphia PA 19152-4524 | |
| (267) 563-8795 | |
| Not Available |
| Full Name | Mh Tx Options, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3029 Teesdale St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | K Bass (PRESIDENT/CEO) |
| Authorized Official Contact | 2675638795 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 09/14/2024 |
| Certification Date | 09/14/2024 |
| Medicare PECOS PAC ID | 5597127670 |
|---|---|
| Medicare Enrollment ID | O20230822001798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689377608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kiyana Bass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609366848 PECOS PAC ID: 3375891989 Enrollment ID: I20180730001399 |
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