Provider Demographics
NPI:1922501444
Name:JEAN-LOUIS, BINAH (LPC, LMHC)
Entity Type:Individual
Prefix:
First Name:BINAH
Middle Name:
Last Name:JEAN-LOUIS
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 FLAT ROCK RD UNIT 31
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19127-2055
Mailing Address - Country:US
Mailing Address - Phone:561-202-5259
Mailing Address - Fax:
Practice Address - Street 1:4601 FLAT ROCK RD UNIT 31
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19127-2055
Practice Address - Country:US
Practice Address - Phone:561-202-5259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-11
Last Update Date:2018-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13520101YM0800X
PAPC010238101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health