Provider Demographics
NPI:1144086844
Name:EMPTY CHAIR
Entity type:Organization
Organization Name:EMPTY CHAIR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SAKERA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:267-334-7599
Mailing Address - Street 1:4500 WORTH ST # D203
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-3491
Mailing Address - Country:US
Mailing Address - Phone:267-334-7599
Mailing Address - Fax:
Practice Address - Street 1:4500 WORTH ST # D203
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-3491
Practice Address - Country:US
Practice Address - Phone:267-334-7599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty