Organization
SANKOFA HEALING STUDIO
Active
Organization
SANKOFA HEALING STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE JOHNSON MS, LPC, ATR-BC (CLINICAL DIRECTOR)
(215) 802-3533
Entity
Organization
Contact information
Practice address
5221 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2301
(215) 802-3533
Mailing address
5221 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2301
(215) 802-3533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/11/2019
Last updated
06/09/2026
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