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General NPI Number Information
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NPI Number | 1275430407
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Entity Type | Organization
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Legal Business Name | WHOLE ALCHEMY BEHAVIORAL & RECOVERY SERVICES
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Dates
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Enumeration Date | 10/21/2026
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Last Update Date | 10/21/2026
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Provider Practice Location Address
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Address Line | 121 S BROAD ST FL 15
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4534
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Country | US
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Telephone | 267-962-7088
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Fax |
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Provider Business Mailing Address
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Address Line | 6415 N 21ST ST
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City | PHILADELPHIA
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State | PA
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Zip | 19138-3007
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Country | US
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Telephone | 267-593-6850
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JADA MANAYA POOLE
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Credential | MA,CSAC-S,LPC-R
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Telephone | 267-593-6850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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