Ellie Pa-Havertown-Township Line Rd

LBN: Dtap Mental Health Services Llc
Ellie Pa-Havertown-Township Line Rd is an health care organization with primary practice located at 1120 W Township Line Rd Ste 101 , Havertown PA 19083-4930. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Dtap Mental Health Services Llc can be contacted via phone (267) 784-5118, or through Cubbage, Richard F via phone (267) 784-5118.

Contact Information

Primary practice address
1120 W Township Line Rd Ste 101 Havertown PA 19083-4930
Phone: (267) 784-5118
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cubbage, Richard F
Phone: (267) 784-5118

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1518737824
LBN Legal business name Dtap Mental Health Services Llc
DBA Doing business as Ellie Pa-Havertown-Township Line Rd
Authorized official Cubbage, Richard F
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2024
Last updated Apr 29th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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