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

Community Council for MH/MR, Inc

Organization Community/Behavioral Health Agency · NPI 1649377003

Community Council for MH/MR, Inc is a Community/Behavioral Health Agency in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4900 Wyalusing Ave
Philadelphia, PA 19131-5127
Phone: (215) 473-7033
Fax: (215) 473-5405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X · Licence 121630 (PA)
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1649377003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alex Moore — Ceo · (215) 473-7033
NPI enumeratedSeptember 20, 2006
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address4900 Wyalusing Ave, Philadelphia, PA 19131-5127

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