Healthcare Provider Details

I. General information

NPI: 1952210064
Provider Name (Legal Business Name): TRULY KNOWN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 COMMERCE DR
FORT WASHINGTON PA
19034-2600
US

IV. Provider business mailing address

390 COMMERCE DR PMB 380
FORT WASHINGTON PA
19034-2600
US

V. Phone/Fax

Practice location:
  • Phone: 267-337-8213
  • Fax:
Mailing address:
  • Phone: 267-337-8213
  • Fax: 833-367-0993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: YEONG J BAE
Title or Position: OWNER
Credential: LCSW
Phone: 610-937-5615