| NPI | 1386100808 |
|---|---|
| Doing Business As | THE MENTAL MEDIATOR |
| Entity Type | Organization |
| Authorized Contact | SHANNON SHADMAN Professional Counselor 484-515-6125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 221700000X Art Therapist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2022-12-08 |