Provider Demographics
NPI: | 1679838825 |
---|---|
Name: | HILLNEAR LLC |
Entity Type: | Organization |
Organization Name: | HILLNEAR LLC |
Other - Org Name: | CHESTER COUNTY THERAPY |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | PHOEBE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MCELHENNY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 484-798-7486 |
Mailing Address - Street 1: | 21 S CHURCH ST |
Mailing Address - Street 2: | |
Mailing Address - City: | WEST CHESTER |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 19382-3220 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 21 S CHURCH ST |
Practice Address - Street 2: | |
Practice Address - City: | WEST CHESTER |
Practice Address - State: | PA |
Practice Address - Zip Code: | 19382-3220 |
Practice Address - Country: | US |
Practice Address - Phone: | 484-798-7486 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-07-12 |
Last Update Date: | 2012-07-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PC005565 | 101YP2500X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Single Specialty |