Spectra Support Services, Llc

LBN: Spectra Support Services, Llc
Spectra Support Services, Llc is an health care organization with primary practice located at 390 Reed Rd Fl 1 , Broomall PA 19008-4008. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Multi-Specialty. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Spectra Support Services, Llc can be contacted via phone (484) 450-6476, or through Olson, Maleita Marguerite via phone (484) 450-6476.

Contact Information

Primary practice address
390 Reed Rd Fl 1 Broomall PA 19008-4008
Phone: (484) 450-6476
Fax: (484) 450-6476
Website:
Map and Directions
Authorized official contact:
Name: Olson, Maleita Marguerite Licensed Clinical Social Worker (LCSW)
Phone: (484) 450-6476

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BH000073 Pennsylvania
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1134482409
LBN Legal business name Spectra Support Services, Llc
DBA Doing business as
Authorized official Olson, Maleita Marguerite Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2012
Last updated Apr 2nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134482409 NPPES
Pennsylvania MEDICAID 1027817150022
Pennsylvania MEDICAID 1027817150023
Pennsylvania MEDICAID 1027817150024
Pennsylvania MEDICAID 1027817150019
Pennsylvania MEDICAID 1027817150021
Pennsylvania MEDICAID 1027817150020

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