Organization
MELANATED WOMENS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLA PIERRE-SMITH (OWNER/THERAPIST)
(917) 804-9453
Entity
Organization
Contact information
Practice address
1518 WALNUT ST STE 607, PHILADELPHIA, PA 19102-3404
(215) 720-1456
Mailing address
1518 WALNUT ST STE 607, PHILADELPHIA, PA 19102-3404
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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