National Provider Identifier Database

FULL LIVING WELLNESS
Professional


Contact Information

FULL LIVING WELLNESS
5105 PALMER MILL RD
CLIFTON HEIGHTS, PA19018-1010
Phone: 148-432-6969
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Art Therapist 221700000X
Counselor 101Y00000X
Drama Therapist 101200000X
Marriage & Family Therapist 106H00000X
Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for FULL LIVING WELLNESS

NPI Number 1821876426
Legal business name
LBN
FULL LIVING WELLNESS
Authorized official NIKITA MAHON - (FOUNDER)
Entity Organization
Organization subpart No
Enumeration date 09/15/2023
Last updated 12/08/2023 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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