MEDICARE: THE CENTER FOR HOPE AND HEALTH 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	251S00000X	Community/Behavioral Health Agency	PC007382	PA

General Provider Information

NPI Number	:	1760899165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CENTER FOR HOPE AND HEALTH LLC

Provider Business Mailing Address
First Line	:	63 W LANCASTER AVE
Second Line	:	SUITE 5
City	:	ARDMORE
State	:	PA
Zip	:	19003-1413
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	63 W LANCASTER AVE
Second Line	:	SUITE 5
City	:	ARDMORE
State	:	PA
Zip	:	19003-1413
Country	:	US
Telephone Number	:	908-309-8344
Fax Number	:

Authorized Official
Title or Position	:	PROFESSIONAL COUNSELOR, PARTNER
Name	:	MELISSA HARRISON
Credential	:	MA LPC
Telephone Number	:	908-309-8344

Provider Enumeration Date	:	07/17/2014
Last Update Date	:	07/17/2014

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Directions to “THE CENTER FOR HOPE AND HEALTH LLC ” Practice Location

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