Provider Demographics
NPI:1245788181
Name:ADVANCED CLIENT CARE LLC
Entity Type:Organization
Organization Name:ADVANCED CLIENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALBANESE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:561-212-6767
Mailing Address - Street 1:6954 HEGERMAN ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19135-1928
Mailing Address - Country:US
Mailing Address - Phone:561-212-6767
Mailing Address - Fax:
Practice Address - Street 1:6954 HEGERMAN ST
Practice Address - Street 2:SUITE #1
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19135-1928
Practice Address - Country:US
Practice Address - Phone:561-212-6767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health