Sylvie Beauvais Llc | |
1601 Walnut St Ste 1523 Philadelphia PA 19102-2910 | |
(267) 997-2878 | |
Not Available |
Full Name | Sylvie Beauvais Llc |
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Speciality | Social Worker |
Location | 1601 Walnut St Ste 1523, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Sylvie Beauvais (PSYCHOTHERAPIST) |
Authorized Official Contact | 2679972878 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sylvie Beauvais Llc 950 N 3rd St Unit 208 Philadelphia PA 19123-2263 Ph: (267) 997-2878 | Sylvie Beauvais Llc 1601 Walnut St Ste 1523 Philadelphia PA 19102-2910 Ph: (267) 997-2878 |
NPI Number | 1740719624 |
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Provider Enumeration Date | 06/05/2017 |
Last Update Date | 09/04/2020 |
Certification Date | 09/04/2020 |
Medicare PECOS PAC ID | 4082964861 |
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Medicare Enrollment ID | O20180829003215 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740719624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW019453 (Pennsylvania) | Primary |
Provider Name | Sylvie Marie Beauvais |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083135222 PECOS PAC ID: 5991055774 Enrollment ID: I20180829003375 |
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