Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GENTLE FORCE WELLNESS TREATMENT FACILITY, INC
Active
Organization
GENTLE FORCE WELLNESS TREATMENT FACILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE BOGAN MS, LBS, LPC, NCC (CEO)
(215) 987-4662
Entity
Organization
Contact information
Practice address
1626 LOCUS STREET, PHILADELPHIA, PA 19103
(215) 987-4662
Mailing address
1626 LOCUS STREET, PHILADELPHIA, PA 19103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
163WC1500X
Community Health Registered Nurse
—
NULL
163WC1500X
Community Health Registered Nurse
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
01/02/2024
Last updated
07/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers