TITO AQUILINO ESTRELLA GAENA
NPI 1831426139
Counselor - Mental Health in Philadelphia, PA
Active since November 06, 2009
About Tito Aquilino Estrella Gaena NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TITO AQUILINO ESTRELLA GAENA (NPI 1831426139) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since November 2009.
NPPES Registry Identity
NPI1831426139
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTITO AQUILINO ESTRELLA GAENA
Location Address2152 N FRONT STPhiladelphia, PA 19122-1705
Mailing Address2030 W Tilghman St, Suite 105bAllentown, PA 18104-4354 · (484) 221-9136 · Fax (484) 221-9130
Phone(484) 221-9136
Fax(484) 221-9130
Sole ProprietorNo
Enumeration DateNovember 6, 2009
✔ NPI 1831426139 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2152 N FRONT ST, Philadelphia, PA 19122
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Mental Health (Including Community Mental Health Center))
2152 N FRONT ST
PHILADELPHIA, PA 19122
PHILADELPHIA, PA 19122
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831426139, enumerated as an "individual" on November 06, 2009.
The provider is located at 2152 N FRONT ST PHILADELPHIA, PA 19122 and the phone number is (484) 221-9136.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.