Provider Demographics
NPI:1609267301
Name:MHMO INC
Entity type:Organization
Organization Name:MHMO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:FAREEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-876-7233
Mailing Address - Street 1:523 PLYMOUTH RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1656
Mailing Address - Country:US
Mailing Address - Phone:215-876-7233
Mailing Address - Fax:
Practice Address - Street 1:523 PLYMOUTH RD
Practice Address - Street 2:SUITE 215
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1656
Practice Address - Country:US
Practice Address - Phone:215-876-7233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0137261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty