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Organization
QUEEN VILLAGE THERAPY GROUP
Active
Organization
QUEEN VILLAGE THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM SMILEY LCSW (OWNER)
(302) 354-7935
Entity
Organization
Contact information
Practice address
516 KAUFFMAN ST, PHILADELPHIA, PA 19147-3015
(856) 433-4184
Mailing address
516 KAUFFMAN ST, PHILADELPHIA, PA 19147-3015
(302) 354-7935
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
06/26/2023
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