Organization
BENESTAR INTEGRATED HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHEEL SIDDIQUI (MANAGER)
(856) 264-7024
Entity
Organization
Contact information
Practice address
2824 COTTMAN AVE # S17, PHILADELPHIA, PA 19149-1400
(888) 573-5557
(888) 573-5557
Mailing address
2824 COTTMAN AVE # S17, PHILADELPHIA, PA 19149-1400
(888) 573-5557
(888) 573-5557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TH0100X
Health Service Psychologist
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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