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General NPI Number Information
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NPI Number | 1851129365
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Entity Type | Organization
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Legal Business Name | HERE AND WOW THERAPY LLC
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Dates
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Enumeration Date | 07/25/2024
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Last Update Date | 02/01/2025
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Provider Practice Location Address
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Address Line | 3641 LANCASTER AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19104-2603
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Country | US
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Telephone | 267-225-5855
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 CHESTNUT ST SUITE 2 PMB 1184
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City | PHILADELPHIA
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State | PA
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Zip | 19102
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Country | US
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Telephone | 267-225-5855
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | TESS L LIEBERSOHN
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Credential | LPC
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Telephone | 267-225-5855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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