Provider Demographics
NPI:1619217395
Name:OPTIMUM CARE COUNSELING & WELLNESS SOLUTIONS
Entity Type:Organization
Organization Name:OPTIMUM CARE COUNSELING & WELLNESS SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESDIENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAURENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-670-8800
Mailing Address - Street 1:4239 PENN AVE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-1373
Mailing Address - Country:US
Mailing Address - Phone:610-670-8800
Mailing Address - Fax:610-670-9800
Practice Address - Street 1:4239 PENN AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-1373
Practice Address - Country:US
Practice Address - Phone:610-670-8800
Practice Address - Fax:610-670-9800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health