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Organization

METHODIST SERVICES

Active
Other names
Methodist Services
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA HOWARD (ADMINISTRATOR OF GRANTS AND CONTRAC)
(215) 877-1925
Entity
Organization

Contact information

Practice address
51 MARKET ST, BANGOR, PA 18013-1901
(610) 588-9109
(610) 588-5016
Mailing address
4300 MONUMENT RD, PHILADELPHIA, PA 19131-1616
(215) 877-1925
(215) 877-1942

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019507060006
PA
05
1019507060009
PA
Enumeration date
07/11/2006
Last updated
12/15/2021
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