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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH003384 | PA | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alo Academy | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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- Tiffany Thornton
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All providers in Lansdowne, PA · Community/Behavioral Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2019. 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.