| Old City Counseling Llc | |
|
124 Chestnut St Ste 16 Philadelphia PA 19106-3009 | |
| (215) 486-6225 | |
| Not Available |
| Full Name | Old City Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 124 Chestnut St Ste 16, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Kimberly Holtsclaw (OWNER) |
| Authorized Official Contact | 2154866225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old City Counseling Llc 124 Chestnut St Ste 16 Philadelphia PA 19106-3009 Ph: (215) 486-6225 | Old City Counseling Llc 124 Chestnut St Ste 16 Philadelphia PA 19106-3009 Ph: (215) 486-6225 |
| NPI Number | 1063185122 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 07/26/2021 |
| Certification Date | 07/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063185122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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