Provider Demographics
NPI:1447424189
Name:EMOTIONAL WELLNESS LLC
Entity Type:Organization
Organization Name:EMOTIONAL WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:I
Authorized Official - Last Name:HEIFER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:610-779-7272
Mailing Address - Street 1:3933 PERKIOMEN AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-2756
Mailing Address - Country:US
Mailing Address - Phone:610-779-7272
Mailing Address - Fax:484-363-4056
Practice Address - Street 1:3933 PERKIOMEN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-2756
Practice Address - Country:US
Practice Address - Phone:610-779-7272
Practice Address - Fax:484-363-4056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW 015334101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty