BIRTHSTONE TRAUMA HEALING, LLC
Counselor (Professional)

Address: 1500 Walnut St Ste 603, Philadelphia, PA 19102-3516

BIRTHSTONE TRAUMA HEALING, LLC (NPI# 1932793627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932793627
Entity Type Organization
Organization Name BIRTHSTONE TRAUMA HEALING, LLC
Practice Address 1500 Walnut St Ste 603
Philadelphia
PA 19102-3516
Practice Telephone 2152588080
Mailing Address 1943 N Howard St
Philadelphia
PA 19122-2411
Mailing Telephone 4345093397
Certification Date 2021-02-24
Enumeration Date 2021-02-24
Last Update Date 2021-02-24
Authorized Official Telephone 2152588080
Authorized Official Credential MA, LPC, NCC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
193400000X SINGLE SPECIALTY GROUP Behavioral Health & Social Service Providers

Other Provider Identifiers

Identifier State Issuer Type Code
14504769 CAQH Other
1689227738 PA NPI-1 Other

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address tim@birthstonetraumahealing.com (Hippa Compliant Email) 1500 Walnut St Ste 603, Philadelphia, PA 191023516 Direct Other na

Office Location

Street Address 1500 WALNUT ST STE 603
City PHILADELPHIA
State PA
Zip Code 19102-3516

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NPI Name Taxonomy Address Enumeration
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NPI Name Taxonomy Address Enumeration
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1073174991 Samantha Haraszti Internal Medicine 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-21
1124688734 Aakash Patel Internal Medicine Drexel University College of Medicine-Internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-17
1720648223 Ali Haydar Internal Medicine 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 2019-06-17
1588120968 John Granger II Social Worker 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 2019-02-11
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1104310119 Julia Schiff Internal Medicine Drexel University College of Medicine, 245 N 15th St, 6th Floor, Ms 427, Philadelphia, PA 19102 2018-06-22
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720668122 Psyrev8808 Transformational Center 6724 Rising Sun Ave Fl 1, Philadelphia, PA 19111-4629 2021-04-09
1942885686 Rachel Mary Brittingham · Rachel Mary Vitolo 1500 Chestnut St Ste 1428, Philadelphia, PA 19102-2737 2021-03-15
1770178139 Polly Pillen 1221 Locust St Fl 2, Philadelphia, PA 19107-5572 2021-03-07
1649865304 Tiffany Renee Chenery 8215 Buist Ave, Philadelphia, PA 19153-1002 2021-03-04
1962097766 Caroline Rachel Kuttler 2556 Frankford Avenue, Philadelphia, PA 19125-1912 2021-03-03
1447843867 Haley Caroline Halkyer 2137 E Huntingdon St # 506, Philadelphia, PA 19125-1466 2021-02-17
1508459363 Kristle J Small Counseling Group 5223 W Berks St Apt B, Philadelphia, PA 19131-3206 2021-02-12
1275123796 Sabina Dominga Williamson 201 S. 18th Street, Suite 204, Philadelphia, PA 19103 2021-01-19
1528657129 Kathryn Lodwick 1516 N 5th St, Suite 401, Philadelphia, PA 19122 2021-01-18
1346838919 Christopher Ryan Torchia 5491 Vicaris St, Philadelphia, PA 19128-2826 2021-01-08
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City PHILADELPHIA
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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