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PREMIER WELLNESS CENTER LLC
NPI 1629864061
Counselor - Professional in Media, PA

Active since April 15, 2025
511 N PROVIDENCE RD, MEDIA, PA 19063(484) 442-0073(484) 205-4950 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Wellness Center Llc NPPES

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

PREMIER WELLNESS CENTER LLC (NPI 1629864061) is a healthcare organization registered as a professional in Media, Pennsylvania and active in the NPI registry since April 2025. The organization lists Amanda Koniewicz, Owner, as its authorized official.

NPPES Registry Identity

NPI1629864061
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NamePREMIER WELLNESS CENTER LLC
Location Address511 N PROVIDENCE RDMedia, PA 19063-2518
Mailing Address511 N Providence Rd, Rear EntranceMedia, PA 19063-2518 · (484) 442-0073 · Fax (484) 205-4950
Phone(484) 442-0073
Fax(484) 205-4950
Organization SubpartNo
Authorized OfficialAmanda KoniewiczOwner · (484) 442-0073
Enumeration DateApril 15, 2025
Last NPPES UpdateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1629864061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
511 N PROVIDENCE RD, Media, PA 19063
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL CLEMENS DMD
Dentist
511 N PROVIDENCE RD
MEDIA, PA 19063
Delaware County (610) 565-0525
DR. ANIER DIAZ VIDAL DMD
Dentist
511 N PROVIDENCE RD
MEDIA, PA 19063
Delaware County (610) 565-0525
MEDIA DENTAL ASSOCIATES DMD LLC
Dentist (General Practice)
511 N PROVIDENCE RD
MEDIA, PA 19063
Delaware County (610) 565-0525
JIAQI HUANG
Dentist (General Practice)
511 N PROVIDENCE RD
MEDIA, PA 19063
Delaware County (610) 701-0102
SARAH E CATANIA DMD
Dentist
511 N PROVIDENCE RD
MEDIA, PA 19063
Delaware County (610) 565-0525
DR. JOHN RYAN WATSON DMD
Dentist (General Practice)
511 N PROVIDENCE RD
MEDIA, PA 19063
Delaware County (610) 565-0525
MEDIA DENTAL ASSOCIATES DMD LLC
Dentist (General Practice)
511 N PROVIDENCE RD
MEDIA, PA 19063
Delaware County (610) 701-0102

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 Premier Wellness Center LLC's NPI number?

The NPI number for Premier Wellness Center LLC is 1629864061. It was assigned to this organization in the NPPES registry on April 15, 2025.

Where is Premier Wellness Center LLC located?

Premier Wellness Center LLC is located at 511 N Providence Rd, Media, PA 19063. The listed phone number is (484) 442-0073.

What is Premier Wellness Center 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 Premier Wellness Center LLC was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.