# WEST PHILLY THERAPY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750970802
- **Authorized official:** MARCIE J WOOD LMFT (MEMBER)
- **Authorized official phone:** (215) 514-5766

## Contact information

- **Practice address:** 5050 BALTIMORE AVE UNIT 14, PHILADELPHIA, PA 19143-3302
- **Practice address phone:** (267) 209-3130
- **Mailing address:** 5050 BALTIMORE AVE UNIT 14, PHILADELPHIA, PA 19143-3302
- **Mailing address phone:** (267) 209-3130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2021
- **Last updated:** 12/02/2021