Provive Wellness Scranton LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PROVIVE WELLNESS SCRANTON LLC

Practice address

1123 Capouse Ave
Scranton, PA 18509-2730

Phone

(347) 374-1767

NPI assigned

Feb 19, 2026

Last updated

Feb 19, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mayer Weber

Title

Partner

Phone

(347) 374-1767

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1790638567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PERLMAN DR STE 120",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775281",
            "telephone_number": "347-374-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 CAPOUSE AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092730",
            "telephone_number": "347-374-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIVE WELLNESS SCRANTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "347-374-1767"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Scranton, PA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.