Provider Demographics
NPI:1093072936
Name:ART OF WELLNESS
Entity Type:Organization
Organization Name:ART OF WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:YAN
Authorized Official - Middle Name:Q
Authorized Official - Last Name:HUO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:267-242-6284
Mailing Address - Street 1:1930 S BROAD ST
Mailing Address - Street 2:UNIT 16
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-2328
Mailing Address - Country:US
Mailing Address - Phone:267-242-6284
Mailing Address - Fax:215-701-4992
Practice Address - Street 1:1930 S BROAD ST
Practice Address - Street 2:UNIT 16
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-2328
Practice Address - Country:US
Practice Address - Phone:267-242-6284
Practice Address - Fax:215-701-4992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-17
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004265101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty