Provider Demographics
NPI:1639932437
Name:THE UNDERSTORY GROUP
Entity Type:Organization
Organization Name:THE UNDERSTORY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEY
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:267-529-5461
Mailing Address - Street 1:703 S UNION AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-3020
Mailing Address - Country:US
Mailing Address - Phone:925-285-7896
Mailing Address - Fax:
Practice Address - Street 1:703 S UNION AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-3020
Practice Address - Country:US
Practice Address - Phone:925-285-7896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)