MEDICARE: SKILLS PATH THERAPY

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1376471490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKILLS PATH THERAPY

Provider Business Mailing Address
First Line	:	555 HIGH ST # 91159
Second Line	:
City	:	MOUNT HOLLY
State	:	NJ
Zip	:	08060-1045
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5950 AGUSTA ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-3606
Country	:	US
Telephone Number	:	870-908-8777
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED REPRESENTATIVE
Name	:	ALAIN BAPTISTE
Credential	:
Telephone Number	:	870-908-8777

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “SKILLS PATH THERAPY ” Practice Location

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