Organization
INTEGRATIVE PSYCHOTHERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILARY BUCELL (ORGANIZER)
(814) 490-2200
Entity
Organization
Contact information
Practice address
1500 CHESTNUT ST STE 2NO1321, PHILADELPHIA, PA 19102-2737
(914) 893-2692
Mailing address
1500 CHESTNUT ST STE 2NO1321, PHILADELPHIA, PA 19102-2737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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