Provider Demographics
NPI:1447789581
Name:THOUGHTFUL WELLNESS, LLC
Entity Type:Organization
Organization Name:THOUGHTFUL WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNA
Authorized Official - Middle Name:LEAH
Authorized Official - Last Name:SCOTT-KLUNK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-721-1752
Mailing Address - Street 1:514 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-2508
Mailing Address - Country:US
Mailing Address - Phone:717-721-1752
Mailing Address - Fax:717-674-7428
Practice Address - Street 1:514 E MAIN ST
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-2508
Practice Address - Country:US
Practice Address - Phone:717-721-1752
Practice Address - Fax:717-674-7428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-11
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty