Organization
JIM GRILLI PSYCHOTHERAPY AND CONSULTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MATTHEW GRILLI LCSW (OWNER)
(732) 735-8022
Entity
Organization
Contact information
Practice address
419 S 19TH ST BSMT OFFICE4, PHILADELPHIA, PA 19146-0006
(732) 735-8022
Mailing address
819 LEAGUE ST, PHILADELPHIA, PA 19147-4714
(732) 735-8022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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