MEDICARE: CULTIVATE COUNSELING COLLECTIVE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1306695739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CULTIVATE COUNSELING COLLECTIVE

Provider Business Mailing Address
First Line	:	1904 SOUTH ST UNIT 2F
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1434
Country	:	US
Telephone Number	:	267-225-5757
Fax Number	:

Provider Business Practice Location Address
First Line	:	1904 SOUTH ST UNIT 2F
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1434
Country	:	US
Telephone Number	:	267-225-5757
Fax Number	:

Authorized Official
Title or Position	:	GENERAL PARTNER
Name	:	FRANCESCA PAPAZIS
Credential	:
Telephone Number	:	267-225-5757

Provider Enumeration Date	:	05/17/2024
Last Update Date	:	01/14/2025

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Directions to “CULTIVATE COUNSELING COLLECTIVE ” Practice Location

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