Provider Demographics
NPI:1861861320
Name:WELL-BEING CENTER
Entity Type:Organization
Organization Name:WELL-BEING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER / MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDEW
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:302-750-0702
Mailing Address - Street 1:63 W LANCASTER AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-1413
Mailing Address - Country:US
Mailing Address - Phone:302-750-0702
Mailing Address - Fax:
Practice Address - Street 1:63 W LANCASTER AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-1413
Practice Address - Country:US
Practice Address - Phone:302-750-0702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005919101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty