Basic Information
| Provider Information | |||||||||
| NPI: | 1932344983 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MURSHED | ||||||||
| FirstName: | NABILA | ||||||||
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| NamePrefix: | MS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25 BLACKSTONE VALLEY PLACE, SUITE 300 | ||||||||
| Address2: | FELLOWSHIP HEALTH RESOURCES INC | ||||||||
| City: | LINCOLN | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028651163 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4013333980 | ||||||||
| FaxNumber: | 4013333984 | ||||||||
| Practice Location | |||||||||
| Address1: | 1041 WEST BRIDGE STREET, SUITES 40-50 | ||||||||
| Address2: | FELLOWSHIP HEALTH RESOURCES INC | ||||||||
| City: | PHOENIXVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194605202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6104159301 | ||||||||
| FaxNumber: | 6104151656 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/04/2008 | ||||||||
| LastUpdateDate: | 12/04/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | PC004610 | PA | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.