Well-Being Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC005919 Issued in PA

Legal business name

WELL-BEING CENTER

Practice address

63 W Lancaster Ave
Suite 2
Ardmore, PA 19003-1413

Phone

(302) 750-0702

NPI assigned

Sep 15, 2015

Organization subpart

No

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

Authorized official

Name

Andew Philip Burns, MS

Title

Partner / Managing Director

Phone

(302) 750-0702

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1861861320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 W LANCASTER AVE",
            "address_2": "SUITE 2",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031413",
            "telephone_number": "302-750-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W LANCASTER AVE",
            "address_2": "SUITE 2",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031413",
            "telephone_number": "302-750-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL-BEING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "ANDEW",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PARTNER / MANAGING DIRECTOR",
        "authorized_official_telephone_number": "302-750-0702",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.