NPI 1891385597 · live from the CMS NPI Registry
Colby C Agostinelli, LMFT, CST
Marriage & Family Therapist in Philadelphia, PA. National Provider Identifier 1891385597, active.
NPI record
| NPI | 1891385597 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 100 S Broad St Ste 834, Philadelphia, PA 19110 |
| Practice phone | 267-603-3758 |
| Mailing address | 255 S 17th St Ste 2100, Philadelphia, PA 19103 |
| Enumerated | January 26, 2021 |
| Last updated | March 2, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Professional | 101YP2500X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Marriage & Family Therapist primary | 106H00000X | MF001204 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.