Healthcare Provider Details

I. General information

NPI: 1831787498
Provider Name (Legal Business Name): RECLAIM THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2021
Last Update Date: 01/08/2021
Certification Date: 01/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 EASTON RD
HORSHAM PA
19044-2508
US

IV. Provider business mailing address

464 CENTRAL AVE
HORSHAM PA
19044-2102
US

V. Phone/Fax

Practice location:
  • Phone: 267-225-1715
  • Fax:
Mailing address:
  • Phone: 267-225-1715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SARAH HERSTICH
Title or Position: OWNER AND PSYCHOTHERAPIST
Credential: MSW, LCSW
Phone: 267-225-1715