Organization
BIRTHSTONE TRAUMA HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ANDREW SOSIN MA, LPC, NCC (OWNER/THERAPIST)
(215) 258-8080
Entity
Organization
Contact information
Practice address
1500 WALNUT ST STE 603, PHILADELPHIA, PA 19102-3516
(215) 258-8080
Mailing address
1943 N HOWARD ST, PHILADELPHIA, PA 19122-2411
(434) 509-3397
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14504769
CAQH
—
01
—
1689227738
NPI-1
PA
Enumeration date
02/24/2021
Last updated
02/24/2021
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