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NPI Code Detail

MEDICARE: REDISCOVER THERAPY LLC

MEDICARE: REDISCOVER THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2101Y00000XCounselor
3104100000XSocial Worker
4106H00000XMarriage & Family Therapist
5101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1023967213
Entity Type Code : Organization
Provider Name (Legal Business Name) : REDISCOVER THERAPY LLC
Provider Business Mailing Address
First Line : 5369 WINGOHOCKING TERRANCE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144
Country : US
Telephone Number : 215-544-3331
Fax Number :
Provider Business Practice Location Address
First Line : 2219 W ALLEGHENY AVE STE 2219-23
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19132-1420
Country : US
Telephone Number : 267-251-1642
Fax Number : 267-251-1642
Authorized Official
Title or Position : CEO
Name : DESIREE JORDEN-JOHNSON
Credential : LCSW
Telephone Number : 267-251-1642
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “REDISCOVER THERAPY LLC ” Practice Location

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