| Therapy 4 Abundant Life | |
|
579 Van Kirk St Philadelphia PA 19120-1232 | |
| (267) 348-9263 | |
| Not Available |
| Full Name | Therapy 4 Abundant Life |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 579 Van Kirk St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Kelly Lynn Greene (CEO) |
| Authorized Official Contact | 2673489263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy 4 Abundant Life 6505 Market St Ste 103-383 Upper Darby PA 19082-1809 Ph: (267) 348-9263 | Therapy 4 Abundant Life 579 Van Kirk St Philadelphia PA 19120-1232 Ph: (267) 348-9263 |
| NPI Number | 1164270419 |
|---|---|
| Provider Enumeration Date | 05/10/2024 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164270419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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