Provider Demographics
NPI:1992680169
Name:THE COMMONHEALTH COLLECTIVE
Entity type:Organization
Organization Name:THE COMMONHEALTH COLLECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEAGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TINE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:410-302-2772
Mailing Address - Street 1:PO BOX 125
Mailing Address - Street 2:
Mailing Address - City:JACOBUS
Mailing Address - State:PA
Mailing Address - Zip Code:17407-0125
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6302 LEADER DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17407-1334
Practice Address - Country:US
Practice Address - Phone:410-302-2772
Practice Address - Fax:410-302-2772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health