Tlc Wholeness Center | |
426 Pennsylvania Ave Ste 101 Ft Washington PA 19034-3410 | |
(215) 620-7660 | |
(215) 773-0789 |
Full Name | Tlc Wholeness Center |
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Speciality | Counselor - Mental Health |
Location | 426 Pennsylvania Ave, Ft Washington, Pennsylvania |
Authorized Official Name and Position | Ann Marie Ruth Devizia (DIRECTOR LICENSED PROFESSIONAL COUN) |
Authorized Official Contact | 2156207660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tlc Wholeness Center 426 Pennsylvania Ave Ste 101 Ft Washington PA 19034-3410 Ph: (215) 620-7660 | Tlc Wholeness Center 426 Pennsylvania Ave Ste 101 Ft Washington PA 19034-3410 Ph: (215) 620-7660 |
NPI Number | 1851610125 |
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Provider Enumeration Date | 05/25/2010 |
Last Update Date | 05/25/2010 |
Identifier | Type | State | Issuer |
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1851610125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | PC002951 (Pennsylvania) | Primary |
Jonathan A. Moselle,ph.d. P.c Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1244 Ft Wshngtn Ave, Suite K, Ft Washington, PA 19034 Phone: 215-643-2999 Fax: 215-643-4599 |