| Neutral Ground Healing Collective LLC | |
|
500 N 13th St Philadelphia PA 19123-3955 | |
| (267) 636-6008 | |
| Not Available |
| Full Name | Neutral Ground Healing Collective LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 N 13th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Kelly Jude (MEMBER) |
| Authorized Official Contact | 2672914385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neutral Ground Healing Collective LLC 32 W Allens Ln Philadelphia PA 19119-1637 Ph: (267) 574-6061 | Neutral Ground Healing Collective LLC 500 N 13th St Philadelphia PA 19123-3955 Ph: (267) 636-6008 |
| NPI Number | 1437959376 |
|---|---|
| Provider Enumeration Date | 03/18/2025 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Medicare PECOS PAC ID | 7012418783 |
|---|---|
| Medicare Enrollment ID | O20250919002569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437959376 | NPI | - | NPPES |
| Provider Name | Linda Philogene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124362652 PECOS PAC ID: 4981857778 Enrollment ID: I20130103000014 |
| Provider Name | Jessica Zuniga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619249497 PECOS PAC ID: 5991027419 Enrollment ID: I20141211000136 |
| Provider Name | Sarah E Thornburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386011716 PECOS PAC ID: 6507169372 Enrollment ID: I20160128001496 |
| Provider Name | Kelly M Jude |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821392747 PECOS PAC ID: 2769761881 Enrollment ID: I20161114000803 |
| Provider Name | Morgan Haffield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861016222 PECOS PAC ID: 6002208220 Enrollment ID: I20220121000040 |
| Provider Name | Jordyn Savage |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093594475 PECOS PAC ID: 8921507682 Enrollment ID: I20250819002502 |
| Provider Name | Stephanie Michelle Lunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134538838 PECOS PAC ID: 8820599566 Enrollment ID: I20250903001386 |
| Provider Name | Bethany Anne Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609747609 PECOS PAC ID: 4486146024 Enrollment ID: I20251121002085 |
| Provider Name | Sarah Desilva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992102289 PECOS PAC ID: 9638657570 Enrollment ID: I20260202000320 |
| Provider Name | Hoda Ammar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689316127 PECOS PAC ID: 3779066220 Enrollment ID: I20260312001374 |
| Provider Name | Jessica Lavallee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073483566 PECOS PAC ID: 0648763573 Enrollment ID: I20260605000191 |
| Provider Name | Steven Mark Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750219390 PECOS PAC ID: 6709358450 Enrollment ID: I20260615001079 |
| Provider Name | Samantha Ann Hershey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750174793 PECOS PAC ID: 2264904465 Enrollment ID: I20260618003047 |
| Provider Name | Justin Talbot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073135000 PECOS PAC ID: 2163995739 Enrollment ID: I20260625000021 |
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