# WIVES SELF HELP FOUNDATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** couseling and therapy assoc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588766836
- **Authorized official:** MS. GAIL SAHL (ADMINSTRATIVE DIRECTOR)
- **Authorized official phone:** (215) 332-1914

## Contact information

- **Practice address:** 8001 ROOSEVELT BLVD, 205-207, PHILADELPHIA, PA 19152-3038
- **Practice address phone:** (215) 332-1914
- **Practice address fax:** (215) 332-1873
- **Mailing address:** 8001 ROOSEVELT BLVD, 205-207, PHILADELPHIA, PA 19152-3038
- **Mailing address phone:** (215) 332-1914
- **Mailing address fax:** (215) 332-1873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 130640 | PA | Yes |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0727023000 | MAGELLAN ID | PA |
| 01 | — | 514223 | BC/BS ID | PA |
| 01 | — | 5356319 | AETNA ID | PA |