Provider Demographics
NPI:1235990870
Name:SEAN ANTHONY THERAPY AND COUNSELING SERVICES
Entity Type:Organization
Organization Name:SEAN ANTHONY THERAPY AND COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ LPC
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:856-577-3860
Mailing Address - Street 1:7841 RIDGE AVE APT A-214
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-3044
Mailing Address - Country:US
Mailing Address - Phone:386-085-6577
Mailing Address - Fax:
Practice Address - Street 1:7841 RIDGE AVE APT A-214
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-3044
Practice Address - Country:US
Practice Address - Phone:856-577-3860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty