Thibault Counseling LLC
Clinic/Center (Adult Mental Health)

Address: 2049 North Street, Philadelphia, PA 19130
Phone: 2679186916

Thibault Counseling LLC (NPI# 1104470665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1104470665
Entity Type Organization
Practice Address 2049 North Street
PA 19130
Practice Telephone 2679186916
Mailing Address 2049 North Street
PA 19130
Mailing Telephone 2679186916
Authorized Official Name Mr. James Lawrence Thibault (OWNER/PSYCHOTHERAPIST)
Authorized Official Telephone 2679186916
Authorized Official Credential LPC
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-08-01
Last Update Date 2019-08-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM0850X Clinic/Center · Adult Mental Health Ambulatory Health Care Facilities

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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1942819958 Shay Selden, Psyd, Med, LLC Clinic/Center 1411 S 15th St, Philadelphia, PA 19146-4803 2020-07-26
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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Find all providers in PHILADELPHIA

Office Location

Street Address 2049 NORTH STREET
State PA
Zip Code 19130

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912518226 Karen Dybner-madero Psychologist 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 2020-08-11
1689213456 Nora Marie Corbett Physical Therapist 1714 Fairmount Avenue, Philadelphia, PA 19130 2019-12-27
1619444577 Rebecca Boova Dietitian, Registered 1644 Francis St, #3, Philadelphia, PA 19130 2018-10-30
1184191108 Sharon Marie Thompson Nurse Practitioner School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 2018-10-29
1861918542 Theresa Mary Thompson Dental Hygienist Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 2017-08-15
1023539806 Marina France Social Worker 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 2017-06-30
1619425063 Sarah Nash Dietitian, Registered 420 North 20th Street, Philadelphia, PA 19130 2016-09-14
1154737757 Julia Ferrence Social Worker 2305 Fairmount Avenue, Philadelphia, PA 19130 2014-07-03
1811319924 Larry H Goldberg Internal Medicine 2441 Olive Street, Philadelphia, PA 19130 2014-01-08
1831435676 Rachel Joy Shanok Physical Therapist 627-37 N. 18th St., #201, Philadelphia, PA 19130 2012-12-26
Find all providers in zip 19130


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Zip Code 19130

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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.