Provider Demographics
NPI:1306695739
Name:CULTIVATE COUNSELING COLLECTIVE
Entity type:Organization
Organization Name:CULTIVATE COUNSELING COLLECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCESCA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPAZIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-225-5757
Mailing Address - Street 1:1904 SOUTH ST UNIT 2F
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-1434
Mailing Address - Country:US
Mailing Address - Phone:267-225-5757
Mailing Address - Fax:
Practice Address - Street 1:1904 SOUTH ST UNIT 2F
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-1434
Practice Address - Country:US
Practice Address - Phone:267-225-5757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty