Provider Type Icon

CITYWIDE COMMUNITY COUNSELING SERVICES NPI 1841614054


NPI Information

NPI: 1841614054
Provider Name: CITYWIDE COMMUNITY COUNSELING SERVICES,
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
5241 JACKSON ST
PHILADELPHIA, PA
ZIP 19124
Phone: (215) 291-9500
Get Directions

CITYWIDE COMMUNITY COUNSELING SERVICES, is an adolescent and children mental health clinic center in Philadelphia, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CITYWIDE COMMUNITY COUNSELING SERVICES, NPI is 1841614054. The provider is registered as an organization entity type.

The provider's business location address is:

5241 JACKSON ST
PHILADELPHIA, PA
ZIP 19124
Phone: (215) 291-9500

The provider's authorized official is Modesta Molina .
The authorized official title is Chief Of Operation and has the following contact phone number (215) 291-9500.

The enumeration date for this NPI number is 2/7/2014 and was last updated on 2/7/2014.


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
1261QM0855XClinic/CenterAdolescent and Children Mental 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: 11/14/2023

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.