Counselor, Professional
CENTER FOR RACIAL & HEALTH EQUITY LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1265242135 · enumerated 2025-01-13 · record updated 2025-01-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. SHANE GILL PHD, LPC, Chief Executive Officer · (484) 362-0105
Addresses and phones
- Mailing address 200 BARR HARBOR DR STE 400, CONSHOHOCKEN, PA, 19428-2978 (484) 362-0105 Google Maps Apple Maps OpenStreetMap
- Practice location 1100 S BROAD ST UNIT 5A, PHILADELPHIA, PA, 19146-5059 (484) 362-0105 Fax (484) 362-0105 Google Maps Apple Maps OpenStreetMap
Specialties
- Counselor, Addiction (Substance Use Disorder) 101YA0400X
- Counselor, Mental Health 101YM0800X
- Counselor, Professional 101YP2500X · Primary
- Counselor, School 101YS0200X
- Social Worker 104100000X
- Social Worker, Clinical 1041C0700X
- Social Worker, School 1041S0200X
- Case Manager/Care Coordinator 171M00000X
- Psychiatry & Neurology, Addiction Medicine 2084A0401X
- Psychiatry & Neurology, Psychiatry 2084P0800X
- Nurse Practitioner, Psych/Mental Health 363LP0808X
In this directory
Locations and evidence
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Practice location
PHILADELPHIA, PA, 191465059
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.