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Organization
NEUTRAL GROUND HEALING COLLECTIVE, LLC
Active
Organization
NEUTRAL GROUND HEALING COLLECTIVE, LLC
Active
Other names
NEUTRAL GROUND INCLUSIVE HEALING, NEUTRAL GROUND HEALING COLLECTIVE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JUDE LCSW (MEMBER)
(267) 291-4385
Entity
Organization
Contact information
Practice address
500 N 13TH ST, PHILADELPHIA, PA 19123-3955
(267) 636-6008
Mailing address
32 W ALLENS LN, PHILADELPHIA, PA 19119-1637
(267) 574-6061
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/18/2025
Last updated
05/21/2025
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