Provider Demographics
NPI:1679033443
Name:EMERGE COUNSELING PLLC
Entity Type:Organization
Organization Name:EMERGE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRIDGETT
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:267-603-3022
Mailing Address - Street 1:100 S BROAD ST STE 1515
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19110-1006
Mailing Address - Country:US
Mailing Address - Phone:267-603-3022
Mailing Address - Fax:267-214-0050
Practice Address - Street 1:100 S BROAD ST STE 1515
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19110-1006
Practice Address - Country:US
Practice Address - Phone:267-603-3022
Practice Address - Fax:267-214-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty