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Organization
VILLAGE THERAPY PRACTICE, LLC
Active
Organization
VILLAGE THERAPY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL PALME LPC, NCC, MED (ADMINISTRATOR)
(215) 582-9086
Entity
Organization
Contact information
Practice address
2 VILLAGE RD STE 2, HORSHAM, PA 19044-3816
(215) 582-9086
Mailing address
2 VILLAGE RD STE 2, HORSHAM, PA 19044-3816
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275197097
PSYCHOTHERAPY
PA
01
—
1316306400
PSYCHOTHERAPY
PA
Enumeration date
06/15/2019
Last updated
06/15/2019
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