VIRTUAL SOFA, LLC


Address: 2005 Market St Ste 3140, Philadelphia, PA 19103-7001
Phone: 2156369797

VIRTUAL SOFA, LLC (NPI# 1114534328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114534328
Entity Type Organization
Organization Name VIRTUAL SOFA, LLC
Practice Address 2005 Market St Ste 3140
Philadelphia
PA 19103-7001
Practice Telephone 2156369797
Mailing Telephone 2156369797
Enumeration Date 2020-09-30
Last Update Date 2020-09-30
Authorized Official Name DR. LAURA WINDHAM (OWNER)
Authorized Official Telephone 2156369797
Authorized Official Credential PSYD, LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 2005 MARKET ST STE 3140
City PHILADELPHIA
State PA
Zip Code 19103-7001

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1063062685 Sarah Seeling Social Worker 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 2019-09-16
1730735051 Jill Verofsky Counselor 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 2019-08-13
1932761863 Barclay Prescription Pharmacy Pharmacist 1736 Spruce St, Phila, PA 19103 2019-07-01
1265910459 Whitney Sue Fricke Counselor 2211 Locust St, Philadelphia, PA 19103 2018-07-31
1740784586 Sara Elizabeth Macintyre Speech-Language Pathologist 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 2018-03-19
1326578907 Danielle D Bercovitch Speech-Language Pathologist 1930 S Broad, Philadelphia, PA 19103 2017-06-15
1598114449 Brooke Elaine Mullen Dietitian, Registered 1708 Pine St Apt 1r, Philadelphia, PA 19103 2016-06-10
1972966026 Alexandra Brady Jatzke Dietitian, Registered 1835 Market St Fl 2, Philadelphia, PA 19103 2016-04-05
1932574118 David Clements Iv Psychiatry & Neurology 1845 Walnut St Ste 1540, Philadelphia, PA 19103 2015-12-14
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
1235738360 Hallie M. Kushner, Ph.d. P.C. Clinic/Center 1601 Walnut St Ste 706, Philadelphia, PA 19102-2904 2020-10-20
1942819958 Shay Selden, Psyd, Med, LLC Clinic/Center 1411 S 15th St, Philadelphia, PA 19146-4803 2020-07-26
1952939068 King Motivates, LLC Clinic/Center 1939 Page St, Philadelphia, PA 19121-1513 2020-04-01
1104470665 Thibault Counseling LLC Clinic/Center 2049 North Street, Philadelphia, PA 19130 2019-08-01
1235781220 Annie Strout Counseling LLC Clinic/Center 1713 S Dorrance St, Philadelphia, PA 19145-2108 2019-07-10
1497170625 Citywide Community Counseling Services Clinic/Center 537 E. Allegheny Avenue, Apt/suite, Philadelphia, PA 19134 2014-02-25
1598189771 Citywide Community Counseling Services Clinic/Center 1346 Knorr St, Philadelphia, PA 19149 2014-02-10
1780008961 Citywide Community Counseling Services Clinic/Center 137 E. Allegheny Avenue, Philadelphia, PA 19134 2014-02-10
1114341328 Citywide Community Counseling Services Clinic/Center 5807 Bustleton Avenue, Philadelphia, PA 19149 2014-02-07
1356605455 Interamerican Behavioral Health Services, Inc. Clinic/Center 511 W Courtland St, Philadelphia, PA 19140-1404 2012-07-03
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Competitor

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City PHILADELPHIA
Zip Code 19103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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