Healthcare Provider Details

I. General information

NPI: 1669380564
Provider Name (Legal Business Name): GENUINE CONNECTIONS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 RIGHTERS FERRY RD APT 206
BALA CYNWYD PA
19004-1742
US

IV. Provider business mailing address

335 RIGHTERS FERRY RD APT 206
BALA CYNWYD PA
19004-1742
US

V. Phone/Fax

Practice location:
  • Phone: 267-817-0321
  • Fax:
Mailing address:
  • Phone: 267-817-0321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MARIE DIMENNA
Title or Position: FOUNDER/THERAPIST
Credential: LCSW
Phone: 267-817-0321