717 HEALTH LLC NPI 1891559522

NPI Information

NPI: 1891559522
Provider Name: 717 HEALTH LLC

Doing Business As: NORTHEAST WELLNESS COLLECTIVE

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1604 LITITZ PIKE
LANCASTER, PA
ZIP 17601
Phone: (717) 818-5462
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717 HEALTH LLC is an adult mental health clinic center in Lancaster, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. 717 HEALTH LLC NPI is 1891559522. The provider is registered as an organization entity type.
The provider Is Doing Business As Northeast Wellness Collective.

The provider's business location address is:

1604 LITITZ PIKE
LANCASTER, PA
ZIP 17601-534
Phone: (717) 818-5462

The provider's authorized official is Jessica Brunner .
The authorized official title is Executive Director and has the following contact phone number (717) 818-5462.

The enumeration date for this NPI number is 2/13/2024 and was last updated on 3/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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