| Sage Therapy Group, Llc | |
|
101 E Moreland Ave Hatboro PA 19040-4742 | |
| (267) 406-0614 | |
| Not Available |
| Full Name | Sage Therapy Group, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 101 E Moreland Ave, Hatboro, Pennsylvania |
| Authorized Official Name and Position | Andrea Gahagan (OWNER/THERAPIST) |
| Authorized Official Contact | 2156227736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Therapy Group, Llc 109 Overlook Ave Willow Grove PA 19090-2723 Ph: (215) 622-7736 | Sage Therapy Group, Llc 101 E Moreland Ave Hatboro PA 19040-4742 Ph: (267) 406-0614 |
| NPI Number | 1982286209 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 04/26/2021 |
| Certification Date | 04/26/2021 |
| Medicare PECOS PAC ID | 4981005592 |
|---|---|
| Medicare Enrollment ID | O20210701003624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982286209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrea Gahagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316571540 PECOS PAC ID: 7214338821 Enrollment ID: I20210701003763 |
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