| Sophia Park, | |
|
600 N Jackson St Ste 300, Media, PA 19063-2530 | |
| (610) 808-9923 | |
| Not Available |
| Full Name | Sophia Park |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 600 N Jackson St Ste 300, Media, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427693357 | NPI | - | NPPES |
| LICENSE | Other | PA | 000862 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 000862 (Pennsylvania) | Primary |
| Entity Name | Thrive Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120416000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Park, 600 N Jackson St Ste 300, Media, PA 19063-2530 Ph: (610) 808-9923 | Sophia Park, 600 N Jackson St Ste 300, Media, PA 19063-2530 Ph: (610) 808-9923 |
Shanae Farquharson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1055 E Baltimore Pike Ste 300, Media, PA 19063 Phone: 610-892-3800 | |
Ms. Elizabeth White Cuorato, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1033 N Providence Rd, Media, PA 19063 Phone: 610-566-4975 | |
Bethany M Lukban, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 22 State Rd, Media, PA 19063 Phone: 267-259-6665 | |
Huan Zhang, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 42 E Front St Ofc No.2, Media, PA 19063 Phone: 856-433-4973 | |
Robin Moss Greenberg, LCSW LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 36 E Front St, Media, PA 19063 Phone: 484-238-0204 | |
Taryn Cain-strobel, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 42 E Front St Ofc 4, Media, PA 19063 Phone: 302-753-9806 |