Organization
ACHIEVING NIRVANA LLC
Active
Organization
ACHIEVING NIRVANA LLC
Active
Other names
Amber Pham
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER PHAM LCSW (THERAPIST)
(267) 630-4688
Entity
Organization
Contact information
Practice address
2402 BROWNING RD, PENNSAUKEN, NJ 08110-1917
(267) 630-4688
Mailing address
2402 BROWNING RD, PENNSAUKEN, NJ 08110-1917
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450498715
CERTIFICATION OF FORMATION
NJ
Enumeration date
08/06/2020
Last updated
08/06/2020
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