MEDICARE: ESMERALDA XHELILAJ

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	:	1740055490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESMERALDA XHELILAJ

Provider Business Mailing Address
First Line	:	106 GAY ST STE 302
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19127-1309
Country	:	US
Telephone Number	:	215-845-1858
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 GAY ST STE 302
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19127-1309
Country	:	US
Telephone Number	:	215-845-1858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2023
Last Update Date	:	11/21/2023

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Directions to “ ESMERALDA XHELILAJ ” Practice Location

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