Organization
COUNSELORS HEART THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKINA GREEN SMALL LPC (OWNER)
(267) 225-7638
Entity
Organization
Contact information
Practice address
12 N PRESTON ST, PHILADELPHIA, PA 19104-2211
(267) 225-7638
Mailing address
150 WEST AVE, ELKINS PARK, PA 19027-2017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
02/24/2026
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