1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Counselor
  6. NPI Profile

PSYREV8808 TRANSFORMATIONAL CENTER
NPI 1720668122
Counselor - Professional in Philadelphia, PA

Active since April 09, 2021
6724 RISING SUN AVE FL 1, PHILADELPHIA, PA 19111(267) 255-0386(215) 214-5941 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Psyrev8808 Transformational Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PSYREV8808 TRANSFORMATIONAL CENTER (NPI 1720668122) is a healthcare organization registered as a professional in Philadelphia, Pennsylvania and active in the NPI registry since April 2021. The organization lists Anne Mbette, President, as its authorized official.

NPPES Registry Identity

NPI1720668122
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NamePSYREV8808 TRANSFORMATIONAL CENTER
Location Address6724 RISING SUN AVE FL 1Philadelphia, PA 19111-4629
Mailing Address6724 Rising Sun Ave Fl 1Philadelphia, PA 19111-4629 · (267) 255-0386 · Fax (215) 214-5941
Phone(267) 255-0386
Fax(215) 214-5941
Organization SubpartNo
Authorized OfficialAnne MbettePresident · (215) 839-4921
Enumeration DateApril 9, 2021
NPPES CertifiedApril 9, 2021
✔ NPI 1720668122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
6724 RISING SUN AVE FL 1, Philadelphia, PA 19111
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORENCE SISANG MUNGO
Counselor (Professional)
6724 RISING SUN AVE FL 1
PHILADELPHIA, PA 19111
Philadelphia County (215) 214-5941

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Psyrev8808 Transformational Center's NPI number?

The NPI number for Psyrev8808 Transformational Center is 1720668122. It was assigned to this organization in the NPPES registry on April 9, 2021.

Where is Psyrev8808 Transformational Center located?

Psyrev8808 Transformational Center is located at 6724 Rising Sun Ave Fl 1, Philadelphia, PA 19111. The listed phone number is (267) 255-0386.

What is Psyrev8808 Transformational Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Psyrev8808 Transformational Center was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.