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EMERALD GROVE WELLNESS LLC
NPI 1104427806
Counselor - Professional in Mars, PA

Active since November 08, 2020
214 BRICKYARD RD, MARS, PA 16046(724) 766-3825(334) 344-7725 Get Directions Write a Review

NPPES record last updated: November 8, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Emerald Grove Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERALD GROVE WELLNESS LLC (NPI 1104427806) is a healthcare organization registered as a professional in Mars, Pennsylvania and active in the NPI registry since November 2020. The organization maintains a secondary practice location in Wexford and lists Ryan Ganter, Owner, as its authorized official.

NPPES Registry Identity

NPI1104427806
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameEMERALD GROVE WELLNESS LLC
Location Address214 BRICKYARD RDMars, PA 16046-3006
Mailing Address214 Brickyard RdMars, PA 16046-3006 · (724) 766-3825 · Fax (334) 344-7725
Phone(724) 766-3825
Fax(334) 344-7725
Organization SubpartNo
Authorized OfficialRyan GanterOwner · (724) 766-3825
Enumeration DateNovember 8, 2020
NPPES CertifiedNovember 6, 2020
✔ NPI 1104427806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
214 BRICKYARD RD, Mars, PA 16046
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Secondary Practice Location 1

Location 1103 N Meadows Dr Ste 210Wexford, PA 15090-8369 · Phone (724) 766-3825 · Fax (334) 344-7725

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emerald Grove Wellness LLC's NPI number?

The NPI number for Emerald Grove Wellness LLC is 1104427806. It was assigned to this organization in the NPPES registry on November 8, 2020.

Where is Emerald Grove Wellness LLC located?

Emerald Grove Wellness LLC is located at 214 Brickyard Rd, Mars, PA 16046. The listed phone number is (724) 766-3825.

What is Emerald Grove Wellness LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Emerald Grove Wellness LLC was last updated on November 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.