MATERNAL WELLNESS CENTER LLC (NPI# 1861002461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861002461 |
| Entity Type | Organization |
| Organization Name | MATERNAL WELLNESS CENTER LLC |
| Practice Address |
67 Byberry Rd Hatboro PA 19040-3205 |
| Mailing Address |
88 W Washington Ln Philadelphia PA 19144-2602 |
| Practice Telephone | 2156499916 |
| Mailing Telephone | 2674322374 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | MS. KELLIE L. WICKLUND (OWNER / DIRECTOR) |
| Authorized Official Telephone | 2674322374 |
| Authorized Official Credential | MA, LPC, PHM-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Maternal Wellness Center | Doing Business As Name - Organization |
| Street Address |
67 BYBERRY RD |
| City | HATBORO |
| State | PA |
| Zip Code | 19040-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336621762 | Tina Marie Gonzales | Psychologist | 928 Jaymor Road Suite B-150, Southampton, PA 19040 | 2018-09-01 |
| 1467908780 | Horizon House, Inc. | Community/Behavioral Health | 419 W County Line Road, Hatboro, PA 19040 | 2016-08-28 |
| 1699180190 | Jeanette I Frye | Counselor | 2935 Byberry Rd, Suite 108, Hatboro, PA 19040 | 2014-06-24 |
| 1215247119 | Karen Virginia Johnson | Physical Therapist | 319 W. County Line Rd., Hatboro, PA 19040 | 2010-10-14 |
| 1922252048 | Harris Bob Brody | Nutritionist | 655 West County Line Rd., Hatboro, PA 19040 | 2008-11-17 |
| 1407010861 | Pamela A Heyman | Counselor | 2935 Byberry Rd, Hatboro, PA 19040 | 2008-07-15 |
| 1992968044 | Jane A Griffith | Dentist | 41 Byberry Ave Suite 2, Hatboro, PA 19040 | 2008-07-09 |
| 1295993335 | Dena Cheryl Sloane | Pediatrics | 483 E. County Line Rd, Hatboro, PA 19040 | 2008-05-27 |
| 1215138763 | Thomas C Barber | Dentist | 77 Byberry Rd, Thomas C Barber Dmd, Hatboro, PA 19040 | 2007-05-31 |
| 1154446789 | Frank David Potera | Chiropractor | 14 Maple Ave, Suite B, Hatboro, PA 19040 | 2007-03-20 |
| Find all providers in zip 19040 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718844 | Van Rheenen Counseling LLC | Clinic/Center | 151 W County Line Rd, Hatboro, PA 19040-1807 | 2020-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679915 | Natick Counseling | Clinic/Center | 41 University Drive, Suite 428, Newtown, PA 18940 | 2020-11-04 |
| 1235738360 | Hallie M. Kushner, Ph.d. P.C. | Clinic/Center | 1601 Walnut St Ste 706, Philadelphia, PA 19102-2904 | 2020-10-20 |
| 1780291062 | Grasta Counseling Services, LLC | Clinic/Center | 321 Spruce St Ste 502, Scranton, PA 18503-1445 | 2020-09-30 |
| 1114534328 | Virtual Sofa, LLC | Clinic/Center | 2005 Market St Ste 3140, Philadelphia, PA 19103-7001 | 2020-09-30 |
| 1033725569 | Deirdre Razzi, Lcsw | Clinic/Center | 207 W Plumstead Ave, Lansdowne, PA 19050-1120 | 2020-09-21 |
| 1760096267 | Gail R. Ludwig | Clinic/Center | 689 Oxford Blvd, Pittsburgh, PA 15243-1637 | 2020-09-02 |
| 1922611086 | K.a.d. Counseling, LLC | Clinic/Center | 32 S Broad St Fl 2nd, Nazareth, PA 18064-2117 | 2020-08-28 |
| 1104435536 | Finding Peace of The Poconos LLC | Clinic/Center | 310 Miller Rd, Stroudsburg, PA 18360-8407 | 2020-07-31 |
| 1942819958 | Shay Selden, Psyd, Med, LLC | Clinic/Center | 1411 S 15th St, Philadelphia, PA 19146-4803 | 2020-07-26 |
| 1104435312 | Animal-assisted Therapy, LLC | Clinic/Center | 152 E High St Ste 440a, Pottstown, PA 19464-5400 | 2020-07-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.