Provider Demographics
NPI:1417137506
Name:THE AFRITUDE INSTITUTE,LLC
Entity Type:Organization
Organization Name:THE AFRITUDE INSTITUTE,LLC
Other - Org Name:TAI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MBETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MPSY; NCP; LPC
Authorized Official - Phone:215-552-8900
Mailing Address - Street 1:6011 BINGHAM ST
Mailing Address - Street 2:B2
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-5776
Mailing Address - Country:US
Mailing Address - Phone:215-552-8900
Mailing Address - Fax:215-552-8997
Practice Address - Street 1:6649 GERMANTOWN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-2251
Practice Address - Country:US
Practice Address - Phone:215-552-8900
Practice Address - Fax:215-552-8997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004425101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC004425OtherLPC