717 HEALTH LLC NPI 1891559522

NPI Information

  • NPI: 1891559522
  • Provider Name: 717 HEALTH LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Doing Business As: NORTHEAST WELLNESS COLLECTIVE
  • CLIA Number: 39D2308758
  • Address: 1604 LITITZ PIKE
    LANCASTER, PA
    ZIP 17601
  • Phone: (717) 818-5462

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NPI Details

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 CLIA number assigned to this NPI record is 39D2308758 - other - op behavioral hlth with a certificate type of Certificate of Waiver.

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
1261QM0850XClinic/CenterAdult Mental HealthYes
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

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: 11/21/2025

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