Julianne Leonarda Wiebalk
Counselor (Mental Health)

Address: 814 South 4th Street, 1st Floor, Philadelphia, PA 19147
Phone: (516) 578-1413

Julianne Leonarda Wiebalk (NPI# 1669998217) 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) 1669998217
Entity Type Individual
Full Name Julianne Leonarda Wiebalk
Credential MS
Gender Female
Practice Address 814 South 4th Street
1st Floor
Philadelphia
PA 19147
Practice Telephone (516) 578-1413
Mailing Address 814 S 4th St Fl 1
Philadelphia
PA 19147-3104
Mailing Telephone 5165781413
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2017-08-16
Last Update Date 2017-08-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YM0800X Counselor · Mental Health Behavioral Health & Social Service Providers

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Office Location

Street Address 814 SOUTH 4TH STREET
1ST FLOOR
City PHILADELPHIA
State PA
Zip Code 19147

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508336181 Jamica Cropper-pam Counselor 401 S 2nd St. Suite 301, Philadelphia, PA 19147 2018-11-27
1598234411 Halina Dziewolska Behavior Analyst 535 Queen Street, Philadelphia, PA 19147 2018-11-20
1972072908 City Dental LLC Clinic/Center 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 2018-11-20
1487120218 Christopher Michael Rosado Behavior Analyst 1218-20 South 8th St, 1, Philadelphia, PA 19147 2018-10-19
1891271722 Candice Millard Dietitian, Registered 419 S 8th St Apt 1b, Philadelphia, PA 19147 2018-07-13
1396269247 Sara Parente Social Worker 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 2017-08-02
1609398445 Nikele Riek Social Worker 1348 Bainbridge Street, Philadelphia, PA 19147 2017-07-13
1023556875 Bralow Medical Group General Practice 834 South St., Philadelphia, PA 19147 2017-02-01
1194196105 Ann Courto Dietitian, Registered 1140 Cross Street, Philadelphia, PA 19147 2015-10-16
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Competitor

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City PHILADELPHIA
Zip Code 19147

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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.