# TAG INSPIRES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336528744
- **Authorized official:** TANIEK A GENTLES LMFT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (718) 974-7885

## Contact information

- **Practice address:** 309 W GLENSIDE AVE, GLENSIDE, PA 19038-3313
- **Practice address phone:** (215) 558-5616
- **Practice address fax:** (215) 242-2051
- **Mailing address:** 1810 68TH AVE, PHILADELPHIA, PA 19126-2626
- **Mailing address phone:** (718) 974-7885
- **Mailing address fax:** (215) 242-2051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MF000813 | PA | Yes |

## Other

- **Enumeration date:** 05/19/2015
- **Last updated:** 05/19/2015