Healthcare Provider Details

I. General information

NPI: 1134711138
Provider Name (Legal Business Name): INPATHY BEHAVIORAL HEALTHCARE GROUP PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2021
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 PEMBROOK DR STE 300
ORLANDO FL
32810-6378
US

IV. Provider business mailing address

765 ROUTE 70 E STE 100
MARLTON NJ
08053-2341
US

V. Phone/Fax

Practice location:
  • Phone: 856-282-2547
  • Fax: 856-344-0572
Mailing address:
  • Phone: 856-282-2547
  • Fax: 856-344-0572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA ALVAREZ
Title or Position: DIRECTOR, MEDICAL AFFAIRS
Credential:
Phone: 646-245-1437