MEDICARE: TURNING LEAF THERAPY, LLC

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	103TC0700X	Clinical Psychologist	1366740532	PA

General Provider Information

NPI Number	:	1366994469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TURNING LEAF THERAPY, LLC

Provider Business Mailing Address
First Line	:	123 CHESTNUT ST
Second Line	:	SUITE 304
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106
Country	:	US
Telephone Number	:	215-399-4128
Fax Number	:	215-399-4128

Provider Business Practice Location Address
First Line	:	123 CHESTNUT ST
Second Line	:	SUITE 304
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106
Country	:	US
Telephone Number	:	215-399-4128
Fax Number	:	215-399-4128

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KAYCEE MARIE BEGLAU
Credential	:	PSYD
Telephone Number	:	215-399-4128

Provider Enumeration Date	:	10/25/2016
Last Update Date	:	06/03/2026

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