EMERALD GROVE WELLNESS LLC
NPI 1104427806
Counselor - Professional in Mars, PA
- Organization
- Counselor
- Professional
About EMERALD GROVE WELLNESS LLC
This page provides the complete NPI Profile along with additional information for Emerald Grove Wellness Llc, a provider established in Mars, Pennsylvania operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1104427806 assigned on November 2020. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ryan Ganter Lpc (Owner)
- NPI
- 1104427806 Verify this NPI
- Provider Name
- EMERALD GROVE WELLNESS LLC
- Entity Type
- Organization
- Location Address
- 214 BRICKYARD RD MARS, PA 16046
- Location Phone
- (724) 766-3825
- Location Fax
- (334) 344-7725
- Mailing Address
- 214 BRICKYARD RD MARS, PA 16046
- Mailing Phone
- (724) 766-3825
- Mailing Fax
- (334) 344-7725
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-08-2020
- Last Update Date
- 11-08-2020
- Code Navigator
Location Map
Secondary Locations
- 103 N Meadows Dr Ste 210
Wexford, PA 15090
(724) 766-3825
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104427806, enumerated as an "organization" on November 08, 2020.
The provider is located at 214 BRICKYARD RD MARS, PA 16046 and the phone number is (724) 766-3825.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
