Provider Demographics
NPI:1871050906
Name:EVERLASTING WELLNESS LLC
Entity type:Organization
Organization Name:EVERLASTING WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, PMH-C
Authorized Official - Phone:484-706-9465
Mailing Address - Street 1:7 BRISTOL CT
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1805
Mailing Address - Country:US
Mailing Address - Phone:484-706-9465
Mailing Address - Fax:610-514-9332
Practice Address - Street 1:7 BRISTOL CT
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19610-1805
Practice Address - Country:US
Practice Address - Phone:484-706-9465
Practice Address - Fax:610-514-9332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)