Organization
MENDING SPACE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY R HALL LMFT (OWNER/THERAPIST)
(215) 960-9843
Entity
Organization
Contact information
Practice address
501 WASHINGTON LN STE 304, JENKINTOWN, PA 19046-3148
(215) 960-9843
Mailing address
501 WASHINGTON LN STE 304, JENKINTOWN, PA 19046-3148
(215) 960-9843
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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