Behavioral Wellness Group
NPI #1073387486 in Blakely, Pennsylvania
Provider Information
- NPI Number
- 1073387486
- Entity Type
- Organization
- Organization Name
- Behavioral Wellness Group
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Nov 7, 2023
- Last Updated
- Nov 7, 2023
Practice Location
- Address
- 1819 MAIN ST # A
- City
- Blakely
- State
- Pennsylvania
- ZIP Code
- 18447-1351
- Phone
- (570) 780-6558
Authorized Official
- Name
- PHILLIP JOHN PRALL JR., MS, CRC, LPC
- Title
- LICENSED PROFESSIONAL COUNSELOR
- Phone
- (570) 780-6558
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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