NORTHEAST WELLNESS COLLECTIVE
NPI 1891559522
Clinic/Center - Adult Mental Health in Lancaster, PA
About Northeast Wellness Collective NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEAST WELLNESS COLLECTIVE (NPI 1891559522) is a healthcare organization registered as an adult mental health in Lancaster, Pennsylvania and active in the NPI registry since February 2024. The organization lists Jessica Brunner, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 39D2308758
717 Health LLC · Lancaster, PAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANCASTER, PA 17601
LANCASTER, PA 17601
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 717 Health LLC's NPI number?
The NPI number for 717 Health LLC is 1891559522. It was assigned to this organization in the NPPES registry on February 13, 2024. The provider is doing business as Northeast Wellness Collective.
Where is 717 Health LLC located?
717 Health LLC is located at 1604 Lititz Pike, Lancaster, PA 17601. The listed phone number is (717) 818-5462.
What is 717 Health LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
When was this NPI record last updated?
The NPPES record for 717 Health LLC was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Northeast Wellness Collective · NPI 1891559522
Adult Mental Health organization in Lancaster, Pennsylvania. Organization record, active in the CMS NPPES registry since February 13, 2024.
## Identity
- **NPI:** 1891559522 (Entity type: Organization)
- **Enumerated:** February 13, 2024
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Legal business name:** 717 Health Llc
- **Organization subpart:** No
- **Authorized official:** Jessica Brunner, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1604 LITITZ PIKE, Lancaster, PA 17601-6534
- **Phone:** (717) 818-5462
## Record status
- **NPPES last updated:** March 18, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1891559522) · Data from the CMS NPPES public registry.