| Focliva Mental Health Services Pc | |
|
3715 Garrett Rd # 1054 Drexel Hill PA 19026-3040 | |
| (267) 756-3212 | |
| Not Available |
| Full Name | Focliva Mental Health Services Pc |
|---|---|
| Speciality | Counselor |
| Location | 3715 Garrett Rd # 1054, Drexel Hill, Pennsylvania |
| Authorized Official Name and Position | Folake Oniyide (CEO) |
| Authorized Official Contact | 2677563212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Focliva Mental Health Services Pc 3715 Garrett Rd # 1054 Drexel Hill PA 19026-3040 Ph: (267) 756-3212 | Focliva Mental Health Services Pc 3715 Garrett Rd # 1054 Drexel Hill PA 19026-3040 Ph: (267) 756-3212 |
| NPI Number | 1568146793 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/08/2023 |
| Certification Date | 06/08/2023 |
| Medicare PECOS PAC ID | 4789045907 |
|---|---|
| Medicare Enrollment ID | O20240206000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568146793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Folake Oniyide |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497022172 PECOS PAC ID: 5698136810 Enrollment ID: I20240206000228 |
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