Healthcare Provider Details

I. General information

NPI: 1174752406
Provider Name (Legal Business Name): MENTAL HEALTH PARTNERSHIPS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2009
Last Update Date: 03/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 CHESTNUT STREET
UPPER DARBY PA
19082
US

IV. Provider business mailing address

1211 CHESTNUT STREET FLOOR 11
PHILADELPHIA PA
19107
US

V. Phone/Fax

Practice location:
  • Phone: 215-751-1800
  • Fax: 215-636-6300
Mailing address:
  • Phone: 215-751-1800
  • Fax: 215-636-6300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ADRIANA TORRES-O'CONNOR
Title or Position: PRESIDENT AND CHIEF EXECUTIVE OFFIC
Credential: PSY.D., MBA
Phone: 215-751-1800