Amadi Ndolo Essoka-Lasenberry

Individual provider Active NPI Health & Wellness Coach · Philadelphia, PA

NPI 1407582349 · NPPES record last updated Jul 25, 2022

Key facts

NPI
1407582349
Entity type
Individual (NPI type 1)
Primary specialty
Health & Wellness Coach 171400000X
Practice address
1500 Market St FL 14
Philadelphia, PA 19102-2100
Phone
(215) 731-6112
NPI assigned
Jul 25, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X PA Yes

Addresses

Primary practice location

1500 Market St FL 14
Philadelphia, PA 19102-2100

Mailing address

1500 Market St
Centre Square East
Philadelphia, PA 19102-2100

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Health & Wellness Coach in Pennsylvania

Sources for this page

Verify at the official NPI Registry.