NPIMap

Organization Active NPI

TLC Wholeness Center

  • Mental Health Counselor
  • Ft Washington, PA
National Provider Identifier
1851610125
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC002951 Issued in PA
Legal business name
TLC WHOLENESS CENTER
Practice address
426 Pennsylvania Ave
Ste 101
Ft Washington, PA 19034-3410
Phone
(215) 620-7660
Fax
(215) 773-0789
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Ms. Ann Marie Ruth Devizia, M.S. LPC
Title
Director Licensed Professional Coun
Phone
(215) 620-7660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X PC002951 PA Primary

Addresses

Primary practice location

426 Pennsylvania Ave
Ste 101
Ft Washington, PA 19034-3410

Mailing address

426 Pennsylvania Ave
Ste 101
Ft Washington, PA 19034-3410
Phone (215) 620-7660

National Provider Directory

National Provider Directory

Locations

426 Pennsylvania Ave
Ste 101
Ft Washington, PA 19034
Phone (215) 620-7660

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1851610125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 PENNSYLVANIA AVE",
            "address_2": "STE 101",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190343410",
            "telephone_number": "215-620-7660",
            "fax_number": "215-773-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 PENNSYLVANIA AVE",
            "address_2": "STE 101",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190343410",
            "telephone_number": "215-620-7660",
            "fax_number": "215-773-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC WHOLENESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "DEVIZIA",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "DIRECTOR LICENSED PROFESSIONAL COUN",
        "authorized_official_telephone_number": "215-620-7660",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.  LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC002951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.