Provider Demographics
NPI:1265258479
Name:ENHANCE BEHAVIORAL & MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:ENHANCE BEHAVIORAL & MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED BEHAVIOR CONSULTANT
Authorized Official - Prefix:MISS
Authorized Official - First Name:KAPRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LBS
Authorized Official - Phone:267-235-9309
Mailing Address - Street 1:PO BOX 771
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-0771
Mailing Address - Country:US
Mailing Address - Phone:267-235-9309
Mailing Address - Fax:
Practice Address - Street 1:261 OLD YORK RD STE A52
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3705
Practice Address - Country:US
Practice Address - Phone:267-235-9309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency