Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Center for Racial & Health Equity LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1265242135

Center for Racial & Health Equity LLC is an Addiction (Substance Use Disorder) Counselor in Philadelphia, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
11
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 S Broad St Unit 5A
Philadelphia, PA 19146-5059
Phone: (484) 362-0105
Fax: (484) 362-0105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
School Counselor Taxonomy 101YS0200X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
School Social Worker Taxonomy 1041S0200X
Case Manager/Care Coordinator Taxonomy 171M00000X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Psychiatry Physician Taxonomy 2084P0800X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1265242135
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shane Gill — Chief Executive Officer · (484) 362-0105
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 8, 2025
Mailing address200 Barr Harbor Dr Ste 400, Conshohocken, PA 19428-2978

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