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WMC NPI 1821215203


NPI Information

NPI: 1821215203
Provider Name: WMC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1939 S JUNIPER ST
PHILADELPHIA, PA
ZIP 19148
Phone: (215) 271-5822
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WMC is a mental health counselor in Philadelphia, PA. WMC NPI is 1821215203. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1939 S JUNIPER ST
PHILADELPHIA, PA
ZIP 19148-217
Phone: (215) 271-5822
Fax: (215) 271-5881

The provider's authorized official is Takisa S Gallman .
The authorized official title is Administrative Director and has the following contact phone number (215) 276-3922.

The enumeration date for this NPI number is 4/19/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health192780PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10016804930004MEDICAIDPENNSYLVANIA
20016804930002MEDICAIDPENNSYLVANIA

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.