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Contact Information

LASTING WELLNESS LLC
116 DEPOT ST APT 2
CLARKS SUMMIT, PA18411-1878
 Phone: 570-507-7649
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LASTING WELLNESS LLC · (Female)

NPI # 1922649987
Status Active
Credentials
Entity Individual
Enumeration date 10/01/2019
Last updated 10/01/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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