| Spoken Relief Therapy Center | |
|
5409 Diamond St Philadelphia PA 19131-3110 | |
| (215) 498-4196 | |
| Not Available |
| Full Name | Spoken Relief Therapy Center |
|---|---|
| Speciality | Counselor |
| Location | 5409 Diamond St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Camilla Williams (OFFICE MANAGER) |
| Authorized Official Contact | 2679018612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spoken Relief Therapy Center 5409 Diamond St Philadelphia PA 19131-3110 Ph: (215) 498-4196 | Spoken Relief Therapy Center 5409 Diamond St Philadelphia PA 19131-3110 Ph: (215) 498-4196 |
| NPI Number | 1043090624 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Medicare PECOS PAC ID | 3577005198 |
|---|---|
| Medicare Enrollment ID | O20240611000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043090624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Charles Solomon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225438195 PECOS PAC ID: 9537453352 Enrollment ID: I20240611000021 |
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