Organization
WISE MIND THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA DIACONESCU LPC (OWNER/ FOUNDER/ THERAPIST)
(267) 270-5353
Entity
Organization
Contact information
Practice address
2503 E ALLEGHENY AVE, PHILADELPHIA, PA 19134
(267) 270-5353
Mailing address
PO BOX 701, BRYN ATHYN, PA 19009-0701
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
12/14/2022
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