| Real Life Emotions, Llc | |
|
30 S 15th Street Ste 1550 Pmb 525572 Philadelphia PA 19102 | |
| (484) 273-2847 | |
| Not Available |
| Full Name | Real Life Emotions, Llc |
|---|---|
| Speciality | Counselor |
| Location | 30 S 15th Street Ste 1550, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Jason Boyko (CEO & THERAPIST) |
| Authorized Official Contact | 4842732847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Life Emotions, Llc 30 S 15th Street Ste 1550 Pmb 525572 Philadelphia PA 19102 Ph: () - | Real Life Emotions, Llc 30 S 15th Street Ste 1550 Pmb 525572 Philadelphia PA 19102 Ph: (484) 273-2847 |
| NPI Number | 1801664420 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 6800230350 |
|---|---|
| Medicare Enrollment ID | O20240223000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801664420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jason Boyko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801179023 PECOS PAC ID: 7618311168 Enrollment ID: I20240223000120 |
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