| Philly Family Life Counseling, LLC | |
|
1209 Grant Ave Suite 2f Philadelphia PA 19115-3706 | |
| (215) 677-3710 | |
| (215) 673-2701 |
| Full Name | Philly Family Life Counseling, LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1209 Grant Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Eugene Devers (MANAGING MEMBER OF LLC) |
| Authorized Official Contact | 2155548191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philly Family Life Counseling, LLC 1209 Grant Ave Suite 2f Philadelphia PA 19115-3706 Ph: (215) 677-3710 | Philly Family Life Counseling, LLC 1209 Grant Ave Suite 2f Philadelphia PA 19115-3706 Ph: (215) 677-3710 |
| NPI Number | 1134599608 |
|---|---|
| Provider Enumeration Date | 09/28/2015 |
| Last Update Date | 12/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134599608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Secondary |
| 1041C0700X | Social Worker - Clinical | () | Primary |
| 106H00000X | Marriage & Family Therapist | () | Secondary |
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