SANKOFA HEALING STUDIO NPI 1619533098

NPI Information

  • NPI: 1619533098
  • Provider Name: SANKOFA HEALING STUDIO
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 1415 N BROAD ST STE 102
    PHILADELPHIA, PA
    ZIP 19122
  • Phone: (215) 802-3533

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NPI Details

SANKOFA HEALING STUDIO is a community behavioral health in Philadelphia, PA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SANKOFA HEALING STUDIO NPI is 1619533098. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1415 N BROAD ST STE 102
PHILADELPHIA, PA
ZIP 19122-324
Phone: (215) 802-3533

The provider's authorized official is Jacqueline Johnson .
The authorized official title is Clinical Director and has the following contact phone number (215) 802-3533.

The enumeration date for this NPI number is 5/11/2019 and was last updated on 5/25/2023.

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
1101YM0800XCounselorMental HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3251S00000XCommunity/Behavioral HealthYes

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: 11/21/2025

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