Provider Demographics
NPI:1710296447
Name:WINNER, THOMAS (MFT)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:
Last Name:WINNER
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4025 CHESTNUT ST
Mailing Address - Street 2:COUNCIL FOR RELATIONSHIPS
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-3081
Mailing Address - Country:US
Mailing Address - Phone:215-382-6680
Mailing Address - Fax:
Practice Address - Street 1:207 N BROAD ST
Practice Address - Street 2:COUNCIL FOR RELATIONSHIPS
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-1500
Practice Address - Country:US
Practice Address - Phone:215-382-6680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist