Organization
HOMEFRONT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE HELEN KEENE LPC (LICENSED PROFESSIONAL COUNSELOR)
(215) 407-0463
Entity
Organization
Contact information
Practice address
1000 N WEST ST, WILMINGTON, DE 19801-1050
(302) 409-1935
Mailing address
2580 PIONEER RD, HATBORO, PA 19040-2522
(215) 407-0463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC-0000135
DE
101YM0800X
Mental Health Counselor
Primary
PC-0000564
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255579538
GLORIA FOX, INDIVIDUAL NPI NUMBER
—
01
—
1952678120
INDIVIDUAL NPI NUMBER, NPPES, JOYCE KEENE
—
Enumeration date
11/18/2011
Last updated
11/18/2011
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