| Served With Love Foundation | |
|
622 E Moore St Norristown PA 19401-5141 | |
| (484) 353-0585 | |
| Not Available |
| Full Name | Served With Love Foundation |
|---|---|
| Speciality | Counselor |
| Location | 622 E Moore St, Norristown, Pennsylvania |
| Authorized Official Name and Position | Rochelle Brown (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4843530585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Served With Love Foundation 622 E Moore St Norristown PA 19401-5141 Ph: (484) 353-0585 | Served With Love Foundation 622 E Moore St Norristown PA 19401-5141 Ph: (484) 353-0585 |
| NPI Number | 1124882030 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Medicare PECOS PAC ID | 5294270740 |
|---|---|
| Medicare Enrollment ID | O20240709003781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124882030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Rochelle Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831806645 PECOS PAC ID: 1355886805 Enrollment ID: I20240709004103 |
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