| Integrated Wellness Associates Of West Chester, Llc | |
|
18 Mystic Ln Malvern PA 19355-1942 | |
| (610) 696-1543 | |
| (610) 696-1819 |
| Full Name | Integrated Wellness Associates Of West Chester, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 18 Mystic Ln, Malvern, Pennsylvania |
| Authorized Official Name and Position | Abby S. Mcgillivray (PRESIDENT) |
| Authorized Official Contact | 6106961543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wellness Associates Of West Chester, Llc 18 Mystic Ln Malvern PA 19355-1942 Ph: (484) 432-3667 | Integrated Wellness Associates Of West Chester, Llc 18 Mystic Ln Malvern PA 19355-1942 Ph: (610) 696-1543 |
| NPI Number | 1730500919 |
|---|---|
| Provider Enumeration Date | 12/14/2013 |
| Last Update Date | 06/21/2021 |
| Certification Date | 06/21/2021 |
| Medicare PECOS PAC ID | 8022249077 |
|---|---|
| Medicare Enrollment ID | O20140317000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730500919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Abby Shultz Mcgillivray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902103609 PECOS PAC ID: 0446222707 Enrollment ID: I20040809000513 |
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