NPI 1114144508

Wmc

Organisation Specialist Philadelphia, PA

Practice location

Address: 4913 N Broad St, Philadelphia, PA 19141-2215
Phone: (215) 329-3200
Fax: (215) 329-3217

Authorised official

Name: Takisa S Gallman
Title: Administrative Director
Phone: (215) 276-3922

Registered specialties (4)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 192780 (PA)

Other Specialist providers in Pennsylvania →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 192780 (PA)

Other Counselor providers in Pennsylvania →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 192780 (PA)

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 192780 (PA)

Other Psychologist providers in Pennsylvania →

Registry record

NPI: 1114144508
Entity type: Organization
NPI issued: 19 Apr 2007
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.