# PENNSYLVANIA INSTITUTE FOR COUPLE AND FAMILY THERAPY

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

## Provider details

- **NPI number:** 1407626427
- **Authorized official:** DR. RASHIDA INGRAM PH.D (CEO)
- **Authorized official phone:** (215) 207-8152

## Contact information

- **Practice address:** 5450 WISSAHICKON AVE APT B1133, PHILADELPHIA, PA 19144-5296
- **Practice address phone:** (215) 207-8152
- **Mailing address:** 5450 WISSAHICKON AVE APT B1133, PHILADELPHIA, PA 19144-5296
- **Mailing address phone:** (215) 207-8152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/02/2024
- **Last updated:** 01/02/2024