Provider Demographics
NPI:1417598152
Name:CAPSTONE SERVICES AND CONSULTING
Entity Type:Organization
Organization Name:CAPSTONE SERVICES AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LBS, LPC
Authorized Official - Phone:267-422-7129
Mailing Address - Street 1:6703 GERMANTOWN AVE STE 210-6
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-2109
Mailing Address - Country:US
Mailing Address - Phone:267-422-7129
Mailing Address - Fax:267-367-5454
Practice Address - Street 1:6703 GERMANTOWN AVE STE 210-6
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-2109
Practice Address - Country:US
Practice Address - Phone:267-422-7129
Practice Address - Fax:267-367-5454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103544377Medicaid