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NPI Code Detail

MEDICARE: HERE AND WOW THERAPY LLC

MEDICARE: HERE AND WOW 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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1851129365
Entity Type Code : Organization
Provider Name (Legal Business Name) : HERE AND WOW THERAPY LLC
Provider Business Mailing Address
First Line : 1500 CHESTNUT ST SUITE 2
Second Line : PMB 1184
City : PHILADELPHIA
State : PA
Zip : 19102
Country : US
Telephone Number : 267-225-5855
Fax Number :
Provider Business Practice Location Address
First Line : 3641 LANCASTER AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-2603
Country : US
Telephone Number : 267-225-5855
Fax Number :
Authorized Official
Title or Position : LICENSED PROFESSIONAL COUNSELOR
Name : TESS L LIEBERSOHN
Credential : LPC
Telephone Number : 267-225-5855
Provider Enumeration Date : 07/25/2024
Last Update Date : 02/01/2025

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Directions to “HERE AND WOW THERAPY LLC ” Practice Location

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