Provider Demographics
NPI:1679814792
Name:TIME FOR HEALING, LLC
Entity Type:Organization
Organization Name:TIME FOR HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:M
Authorized Official - Last Name:KAHN-FREEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:610-937-5290
Mailing Address - Street 1:139 CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-2425
Mailing Address - Country:US
Mailing Address - Phone:610-937-5290
Mailing Address - Fax:610-626-8032
Practice Address - Street 1:349 LANCASTER AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1500
Practice Address - Country:US
Practice Address - Phone:670-937-5290
Practice Address - Fax:610-626-8032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA106H00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA198702Medicaid
PAF45962Medicare UPIN
PA198702Medicaid