Provider Demographics
NPI:1699469890
Name:I AM HERE, LLC
Entity type:Organization
Organization Name:I AM HERE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PHELPS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:610-742-4044
Mailing Address - Street 1:2830 N 27TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19132-2509
Mailing Address - Country:US
Mailing Address - Phone:610-742-4044
Mailing Address - Fax:
Practice Address - Street 1:2830 N 27TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-2509
Practice Address - Country:US
Practice Address - Phone:610-742-4044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty