MEDICARE: MICHELLE MARIE GALDAMES-HENRY MA

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1659257863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE MARIE GALDAMES-HENRY MA

Provider Business Mailing Address
First Line	:	3714 MIDVALE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19129-1715
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3714 MIDVALE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19129-1715
Country	:	US
Telephone Number	:	856-275-3490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/13/2025

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