MTC WELLNESS, LLC
NPI 1720641491
Clinic/Center - Multi-Specialty in Philadelphia, PA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

Active since April 18, 2019

255 S 17TH ST STE 1601, PHILADELPHIA, PA 19103(267) 571-7615(610) 668-8609 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 19, 2022, Nov 19, 2021, Sep 3, 2020 and 1 more (4 updates tracked since 2019).

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Multi-Specialty

About MTC WELLNESS, LLC

This page provides the complete NPI Profile along with additional information for Mtc Wellness, Llc, a provider established in Philadelphia, Pennsylvania operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1720641491 assigned on April 2019. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Margaret Coleman (Owner)

NPI: 1720641491 Verify this NPI
Provider Name: MTC WELLNESS, LLC
Entity Type: Organization
Location Address: 255 S 17TH ST STE 1601 PHILADELPHIA, PA 19103
Location Phone: (267) 571-7615
Location Fax: (610) 668-8609
Mailing Address: 280 RIPKA ST PHILADELPHIA, PA 19127
Mailing Phone: (267) 571-7615
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-18-2019
Last Update Date: 01-19-2022
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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: Clinic/Center Multi-Specialty
Taxonomy Code: 261QM1300X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MARGARET COLEMAN
Authorized Official Title: OWNER
Authorized Official Phone: (267) 571-7615