Organization
DTAP MENTAL HEALTH SERVICES LLC
Active
Other names
Ellie Mental Health, Ellie PA-Havertown-Township Line Rd
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD F CUBBAGE JR. (MANAGING MEMBER)
(267) 784-5118
Entity
Organization
Contact information
Practice address
1120 W TOWNSHIP LINE RD STE 101, HAVERTOWN, PA 19083-4930
(267) 784-5118
Mailing address
8330 FENTON RD, GLENSIDE, PA 19038-7146
(267) 784-5118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/28/2025
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