Provider Demographics
NPI:1821846858
Name:BETA BEHAVIORAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:BETA BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUYEMI
Authorized Official - Middle Name:A
Authorized Official - Last Name:OLAORE
Authorized Official - Suffix:
Authorized Official - Credentials:PMH-NP
Authorized Official - Phone:215-941-0658
Mailing Address - Street 1:700 ATWOOD RD # 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19151-3702
Mailing Address - Country:US
Mailing Address - Phone:215-941-0658
Mailing Address - Fax:
Practice Address - Street 1:300 E LANCASTER AVE STE 106A
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-2146
Practice Address - Country:US
Practice Address - Phone:267-442-8172
Practice Address - Fax:267-285-1133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty