Jalancia Thompson

Individual provider Active NPI Community/Behavioral Health Agency · Lansdowne, PA

NPI 1801459441 · NPPES record last updated Apr 18, 2019

Key facts

NPI
1801459441
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
BH003384 (PA)
Practice address
129 Houston Rd
Lansdowne, PA 19050-1709
Phone
(215) 200-0222
NPI assigned
Apr 18, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BH003384PAMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Alo Academy Current
since Oct 25, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH003384 PA Yes

Addresses

Primary practice location

129 Houston Rd
Lansdowne, PA 19050-1709

Mailing address

129 Houston Rd
Lansdowne, PA 19050-1709
Phone (215) 200-0222

Other providers in Lansdowne, PA

All providers in Lansdowne, PA · Community/Behavioral Health Agency in Pennsylvania

Sources for this page

Verify at the official NPI Registry.