Gpha 4th Street Medical Suite is a Counselor Clinic in Philadelphia, Pennsylvania. It is located at 1401 S. 4th Street, 4th Floor, Philadelphia, PA and its contact number is 215-339-1079. The authorized person for Gpha 4th Street Medical Suite is Ms. D Tina Smith
who is Provider Enrollment Spec. of the clinic and his/her contact number is 215-925-2400. Other organizations associated with this clinic are Greater Philadelphia Health Action, Inc, Greater Phila Health Action, Inc., Gpha 4th Street Medical Suite Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Gpha 4th Street Medical Suite Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Gpha 4th Street Medical Suite
Specialization:
Counselor
Clinic Address:
1401 S. 4th Street, 4th Floor, Philadelphia, Pennsylvania, 19147-5948
Phone:
215-339-1079
Fax:
215-952-6966
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ms. D Tina Smith
Position:
Provider Enrollment Spec.
Contact Number:
215-925-2400
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Gpha 4th Street Medical Suite clinic are as mentioned below.
NPI Number:
1144274077
NPI Enumeration Date:
22 May, 2006
NPI Last Update On:
15 Mar, 2017
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Greater Philadelphia Health Action, Inc
Counselor
1144274077
Greater Phila Health Action, Inc.
Counselor
1447294186
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gpha 4th Street Medical Suite are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Primary
Counselor
Secondary
Psychologist
Secondary
Social Worker
Secondary
Midwife
Secondary
Family Medicine
Secondary
Internal Medicine
Secondary
Obstetrics & Gynecology
Secondary
Pediatrics
Secondary
Child Abuse Pediatrics
Secondary
Psychiatry
Secondary
Podiatrist
Secondary
Clinic/center
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1001374480022
Medicaid
Pennsylvania
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Gpha 4th Street Medical Suite 1401 S. 31st Street, 2nd Floor Philadelphia, Pennsylvania
Zip:
19146-3506
Phone Number:
215-925-2400
Fax Number:
215-925-9162
Patients can reach Gpha 4th Street Medical Suite at 1401 S. 4th Street, 4th Floor, Philadelphia, Pennsylvania or can call to book an appointment on 215-339-1079. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.