| Palante Psychotherapy Llc | |
|
1325 N Randolph St Philadelphia PA 19122-4163 | |
| (610) 428-1027 | |
| Not Available |
| Full Name | Palante Psychotherapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1325 N Randolph St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Jessica M Jones (OWNER) |
| Authorized Official Contact | 6104281027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palante Psychotherapy Llc 817 N 5th St Unit 202 Philadelphia PA 19123-2136 Ph: (610) 428-1027 | Palante Psychotherapy Llc 1325 N Randolph St Philadelphia PA 19122-4163 Ph: (610) 428-1027 |
| NPI Number | 1053055996 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053055996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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