| Upper Self, Llc | |
|
38 Harding Ave Morton PA 19070-1503 | |
| (267) 414-7830 | |
| Not Available |
| Full Name | Upper Self, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 38 Harding Ave, Morton, Pennsylvania |
| Authorized Official Name and Position | Kimberly Nelson-thomas (THERAPIST) |
| Authorized Official Contact | 2674147830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Self, Llc 5452 Belmar Ter Philadelphia PA 19143-4804 Ph: (267) 414-7830 | Upper Self, Llc 38 Harding Ave Morton PA 19070-1503 Ph: (267) 414-7830 |
| NPI Number | 1063148799 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 07/26/2022 |
| Certification Date | 07/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063148799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |