Organization
GEORG ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOLA GEORG LPC (LICENSED PROFESSIONAL COUNSELOR)
(484) 324-8370
Entity
Organization
Contact information
Practice address
1518 WALNUT ST, SUITE 607, PHILADELPHIA, PA 19102-3419
(484) 324-8370
Mailing address
440 W SEDGWICK ST, SUITE A106, PHILADELPHIA, PA 19119-3045
(484) 324-8370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC004689
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12359148
NPI
PA
Enumeration date
12/04/2015
Last updated
12/04/2015
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