Healthcare Provider Details

I. General information

NPI: 1265114292
Provider Name (Legal Business Name): NEW TRUTH THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 BRIDGE RD
RIDLEY PARK PA
19078-1202
US

IV. Provider business mailing address

111 BRIDGE RD
RIDLEY PARK PA
19078-1202
US

V. Phone/Fax

Practice location:
  • Phone: 484-574-9217
  • Fax:
Mailing address:
  • Phone: 484-574-9217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: SCOTT STRUBINGER
Title or Position: PRACTITIONER
Credential: LCSW
Phone: 484-574-9217