Provider Demographics
NPI:1922676097
Name:ABRAHAM H. KOU LLC
Entity Type:Organization
Organization Name:ABRAHAM H. KOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:HONGXING
Authorized Official - Last Name:KOU
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:215-278-9128
Mailing Address - Street 1:1515 MARKET ST STE 1200
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1932
Mailing Address - Country:US
Mailing Address - Phone:215-278-9128
Mailing Address - Fax:267-443-6190
Practice Address - Street 1:1515 MARKET ST STE 1200
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1932
Practice Address - Country:US
Practice Address - Phone:215-278-9128
Practice Address - Fax:267-443-6190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)