| Locascio Wellness | |
|
101 Harvard Rd Havertown PA 19083-3614 | |
| (610) 220-7819 | |
| Not Available |
| Full Name | Locascio Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Harvard Rd, Havertown, Pennsylvania |
| Authorized Official Name and Position | Anthony Locascio (OWNER) |
| Authorized Official Contact | 6102207819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Locascio Wellness 101 Harvard Rd Havertown PA 19083-3614 Ph: (610) 220-7819 | Locascio Wellness 101 Harvard Rd Havertown PA 19083-3614 Ph: (610) 220-7819 |
| NPI Number | 1912608324 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Medicare PECOS PAC ID | 3274073135 |
|---|---|
| Medicare Enrollment ID | O20240906002424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912608324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Anthony Vincent Locascio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164087227 PECOS PAC ID: 0446790307 Enrollment ID: I20240906002586 |
| Provider Name | Diomarys Nunez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285367391 PECOS PAC ID: 9133650070 Enrollment ID: I20241003000644 |
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