Organization
WELL TIED KNOT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE S KAGEL LMFT (OWNER)
(202) 258-1600
Entity
Organization
Contact information
Practice address
6703 GERMANTOWN AVE # 210-3, PHILADELPHIA, PA 19119-2109
(215) 606-3414
Mailing address
3805 DAVIS CT, CHESTER SPRINGS, PA 19425-8740
(202) 258-1600
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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