=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194639336
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STEADY WINGS COUNSELING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2026
-----------------------------------------------------
Last Update Date | 10/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4041 RIDGE AVE APT 18209
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19129
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-477-3195
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2290 W OREGON AVE # 1178
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19145-4197
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-477-3195
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LICENSED PROFESSIONAL COUNSELOR
-----------------------------------------------------
Name | MR. CHASE EDWARD HOOVER
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 610-392-4688
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------