Provider Demographics
NPI:1861066326
Name:RECLAIM WELLNESS, LLC
Entity type:Organization
Organization Name:RECLAIM WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:TAYIBAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BEMIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-432-3778
Mailing Address - Street 1:950 SKIPPACK PIKE
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-1535
Mailing Address - Country:US
Mailing Address - Phone:215-432-3778
Mailing Address - Fax:
Practice Address - Street 1:950 SKIPPACK PIKE
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1535
Practice Address - Country:US
Practice Address - Phone:215-432-3778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty