Virginia Brathwaite-Clarke
Individual provider Active NPI Mental Health Counselor · Levittown, PA
NPI 1467768366 · NPPES record last updated Aug 30, 2010
Key facts
- NPI
- 1467768366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1723 Woodbourne Rd
Suite a-110
Levittown, PA 19057-1510 - Phone
- (267) 587-2300
- Fax
- (267) 587-2305
- NPI assigned
- Aug 30, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1723 Woodbourne Rd
Suite a-110
Levittown, PA 19057-1510
Mailing address
1723 Woodbourne Rd
Suite a-110
Levittown, PA 19057-1510
Phone (267) 587-2300
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All providers in Levittown, PA · Mental Health Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.