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

Therapy Based Ltd

Organization Counselor · NPI 1417733916

Therapy Based Ltd is a Counselor in Philadelphia, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4049 Haverford Ave Fl 2
Philadelphia, PA 19104-1745
Phone: (215) 839-6867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1417733916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Gilliam — Licensed Professional Counselor · (215) 839-6867
NPI enumeratedAugust 31, 2023
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address4049 Haverford Ave Fl 2, Philadelphia, PA 19104-1745

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