Provider Demographics
NPI:1730819178
Name:THE CENTER FOR HEALING SELF AND RELATIONSHIPS
Entity type:Organization
Organization Name:THE CENTER FOR HEALING SELF AND RELATIONSHIPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER/CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:610-608-1353
Mailing Address - Street 1:1717 SWEDE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-3372
Mailing Address - Country:US
Mailing Address - Phone:610-994-0610
Mailing Address - Fax:
Practice Address - Street 1:1717 SWEDE RD STE 104
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-3372
Practice Address - Country:US
Practice Address - Phone:610-994-0610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000OtherNA