Organization
MARIAH GALLAGHER LLC
Active
Other names
Mariah C Ely
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH CLEMENT GALLAGHER LCSW (OWNER)
(401) 749-2696
Entity
Organization
Contact information
Practice address
1150 FIRST AVE STE 511, KING OF PRUSSIA, PA 19406-1316
(401) 749-2696
Mailing address
2417 OLIVE ST, PHILADELPHIA, PA 19130-2523
(401) 749-2696
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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