Provider Demographics
NPI:1568246163
Name:THE NOURISHED NEST FOUNDATION
Entity Type:Organization
Organization Name:THE NOURISHED NEST FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:MEHALSHICK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:302-252-5277
Mailing Address - Street 1:2000 N 2ND ST STE 100
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19122-1643
Mailing Address - Country:US
Mailing Address - Phone:832-821-5534
Mailing Address - Fax:346-395-5039
Practice Address - Street 1:2000 N 2ND ST STE 100
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-1643
Practice Address - Country:US
Practice Address - Phone:832-821-5534
Practice Address - Fax:346-395-5039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty