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Organization

WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC.

Active
Other names
THE CONSORTIUM, INC.
Organization subpart
No

Provider details

NPI number
Authorized official
TWIGGY RODRIGUEZ N/A (PRESIDENT/CEO)
(215) 596-8100
Entity
Organization

Contact information

Practice address
137 S 58TH ST, PHILADELPHIA, PA 19139
(215) 596-8100
(215) 382-0511
Mailing address
3751 ISLAND AVE STE 303, PHILADELPHIA, PA 19153-3237
(215) 596-8100
(215) 382-0511

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
PA
101YM0800X
Mental Health Counselor
PA
101YM0800X
Mental Health Counselor
2084P0800X
Psychiatry Physician
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100715523 0001
PA
Enumeration date
07/06/2006
Last updated
04/09/2026
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