| Mindgarden Psychotherapy Llc | |
|
8705 Germantown Ave Philadelphia PA 19118-2720 | |
| (215) 259-8821 | |
| Not Available |
| Full Name | Mindgarden Psychotherapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8705 Germantown Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Blair J Davis (OWNER) |
| Authorized Official Contact | 2152598821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindgarden Psychotherapy Llc 502 W 7th St Ste 100 Erie PA 16502-1333 Ph: (215) 259-8821 | Mindgarden Psychotherapy Llc 8705 Germantown Ave Philadelphia PA 19118-2720 Ph: (215) 259-8821 |
| NPI Number | 1649001256 |
|---|---|
| Provider Enumeration Date | 08/13/2024 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649001256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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