| Therapy Based Ltd | |
|
4049 Haverford Ave Apt 2r Philadelphia PA 19104-1745 | |
| (215) 839-6867 | |
| Not Available |
| Full Name | Therapy Based Ltd |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4049 Haverford Ave Apt 2r, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Kyle Marcus Gilliam (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2158396867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Based Ltd 4049 Haverford Ave Apt 2r Philadelphia PA 19104-1745 Ph: (215) 839-6867 | Therapy Based Ltd 4049 Haverford Ave Apt 2r Philadelphia PA 19104-1745 Ph: (215) 839-6867 |
| NPI Number | 1417733916 |
|---|---|
| Provider Enumeration Date | 08/31/2023 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417733916 | NPI | - | NPPES |
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