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Organization
PSYREV8808 TRANSFORMATIONAL CENTER
Active
Organization
PSYREV8808 TRANSFORMATIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE MBETTE MPSY, LPC (PRESIDENT)
(215) 839-4921
Entity
Organization
Contact information
Practice address
6724 RISING SUN AVE FL 1, PHILADELPHIA, PA 19111-4629
(267) 255-0386
(215) 214-5941
Mailing address
6724 RISING SUN AVE FL 1, PHILADELPHIA, PA 19111-4629
(267) 255-0386
(215) 214-5941
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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