# TRANSITIONAL PHASE III

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JB Mobile BHS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356540694
- **Authorized official:** JO BENAIT PSYCHOLOGIST (CEO)
- **Authorized official phone:** (215) 877-7465

## Contact information

- **Practice address:** 3900 PRESEDENTIAL BLVD, PHILA, PA 19131
- **Practice address phone:** (215) 877-7465
- **Practice address fax:** (215) 877-7465
- **Mailing address:** PO BOX 811, BALA CYNWYD, PA 19004
- **Mailing address phone:** (215) 877-7465
- **Mailing address fax:** (215) 883-2010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 08/22/2020