| A New Spirit Behavioral Health Services, Llc | |
|
111 Presidential Blvd Lbby Suite237 Bala Cynwyd PA 19004-1008 | |
| (610) 772-3939 | |
| (215) 877-3529 |
| Full Name | A New Spirit Behavioral Health Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 111 Presidential Blvd Lbby Suite237, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Denise Ray-shields (OWNER/THERAPIST) |
| Authorized Official Contact | 6107723939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Spirit Behavioral Health Services, Llc 5745 Woodbine Ave Philadelphia PA 19131-1236 Ph: (215) 983-1488 | A New Spirit Behavioral Health Services, Llc 111 Presidential Blvd Lbby Suite237 Bala Cynwyd PA 19004-1008 Ph: (610) 772-3939 |
| NPI Number | 1518464379 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 04/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518464379 | NPI | - | NPPES |
| 000236440 | Other | PA | OPTUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | SW005909E (Pennsylvania) | Primary |
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