Provider Demographics
NPI:1932922309
Name:AMAL PSYCHOTHERAPY, LLC
Entity type:Organization
Organization Name:AMAL PSYCHOTHERAPY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAKIYAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMU-SAMBARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:551-800-1835
Mailing Address - Street 1:2230 ROUTE 70 W STE 2
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-3338
Mailing Address - Country:US
Mailing Address - Phone:551-800-1835
Mailing Address - Fax:
Practice Address - Street 1:3452 BUCKINGHAM LN
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08109-3802
Practice Address - Country:US
Practice Address - Phone:551-800-1835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health