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EVERGROWING DEVELOPMENT CENTER NPI 1417521972


NPI Information

NPI: 1417521972
Provider Name: EVERGROWING DEVELOPMENT CENTER
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
6703 GERMANTOWN AVE
PHILADELPHIA, PA
ZIP 19119
Phone: (215) 687-7050
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EVERGROWING DEVELOPMENT CENTER is a counselor in Philadelphia, PA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. EVERGROWING DEVELOPMENT CENTER NPI is 1417521972. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6703 GERMANTOWN AVE
PHILADELPHIA, PA
ZIP 19119-109
Phone: (215) 687-7050

The provider's authorized official is Latrice Lewis .
The authorized official title is Director and has the following contact phone number (215) 776-6555.

The enumeration date for this NPI number is 5/18/2021 and was last updated on 5/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3103T00000XPsychologistNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
6364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.