WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. NPI 1114046638

NPI Information

NPI: 1114046638
Provider Name: WEST PHILADELPHIA COMMUNITY MH CONSORTIUM, INC.

Doing Business As: THE CONSORTIUM INC.

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
137 S 58TH ST
SECOND FLOOR
PHILADELPHIA, PA
ZIP 19139
Phone: (215) 596-8100
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WEST PHILADELPHIA COMMUNITY MH CONSORTIUM, INC. is a mental health counselor in Philadelphia, PA. WEST PHILADELPHIA COMMUNITY MH CONSORTIUM, INC. NPI is 1114046638. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Consortium Inc..

The provider's business location address is:

137 S 58TH ST
SECOND FLOOR
PHILADELPHIA, PA
ZIP 19139-134
Phone: (215) 596-8100
Fax: (215) 382-4405

The provider's authorized official is John F. White .
The authorized official title is PRESIDENT CEOCeo and has the following contact phone number (215) 596-8100.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1007155230020	MEDICAID	PENNSYLVANIA

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

NPI Synchronization or Removal

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