EMERALD GROVE WELLNESS LLC (NPI# 1104427806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104427806 |
| Entity Type | Organization |
| Organization Name | EMERALD GROVE WELLNESS LLC |
| Practice Address |
214 Brickyard Rd Mars PA 16046-3006 |
| Practice Telephone | 7247663825 |
| Practice Fax Number | 3343447725 |
| Mailing Telephone | 7247663825 |
| Mailing Fax Number | 3343447725 |
| Enumeration Date | 2020-11-08 |
| Last Update Date | 2020-11-08 |
| Authorized Official Name | RYAN GANTER (OWNER) |
| Authorized Official Telephone | 7247663825 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 N Meadows Dr Ste 210, Wexford, PA 150908369 | 7247663825 | 3343447725 |
| Street Address |
214 BRICKYARD RD |
| City | MARS |
| State | PA |
| Zip Code | 16046-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881152304 | Compass Psychological Associates | Psychologist | 504 Pittsburgh Street # 100, Mars, PA 16046 | 2019-03-04 |
| 1821593849 | Nicole Ann Lollo | Emergency Medicine | 365 Spring Ave, Mars, PA 16046 | 2018-03-30 |
| 1639476070 | Katherine Holzworth | Social Worker | 100 Northpointe Cir Ste 306, Seven Fields, PA 16046 | 2011-02-22 |
| 1578886438 | Denise Elizabeth Bettermann | Chiropractor | 321 Clay Avenue, Mars, PA 16046 | 2010-03-08 |
| 1447486576 | Mars Dental Specialists | Dentist | 160 Brickyard Raod, Suite 500, Mars, PA 16046 | 2009-06-03 |
| 1164656336 | Upmc Community Medicine Inc | Internal Medicine | 504 Pittsburgh St, Mars, PA 16046 | 2009-05-04 |
| 1972750545 | Adams Ridge Chiropractic LLC | Chiropractor | 510 Adams Shoppes, Mars, PA 16046 | 2008-08-26 |
| 1265688394 | Diagnostic Sleep Med Center, LLC | Clinical Medical Laboratory | 121 Grand Ave, Mars, PA 16046 | 2008-08-08 |
| 1649434689 | Susan Beggan Paganie | Counselor | 508 Pittsburgh St Ste 105, Mars, PA 16046 | 2008-07-17 |
| 1205001419 | Brian Seth Rosenzweig | Dentist | 7031 Crider Road, Suite 200, Mars, PA 16046 | 2008-04-29 |
| Find all providers in zip 16046 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649704438 | Michelle Desilee Smith | Counselor | 229 Adams Pointe Blvd, Suite 5, Mars, PA 16046-4699 | 2017-04-18 |
| 1609204692 | Alisha Harnett | Counselor | 304 Scenic Ridge Ct, Mars, PA 16046-2346 | 2013-10-29 |
| 1649434689 | Susan Beggan Paganie | Counselor | 508 Pittsburgh St Ste 105, Mars, PA 16046 | 2008-07-17 |
| 1487661328 | Jay Edward Cadwallader | Counselor | 504 Pittsburgh Street, Suite 100, Mars, PA 16046 | 2006-08-02 |
| 1225576879 | Christine Kobik | Counselor | 195 Crowe Ave, Mars, PA 16046-3303 | 2017-02-03 |
| 1205299880 | Rachel Bowser | Counselor | 195 Crowe Ave, Mars, PA 16046-3303 | 2016-04-01 |
| 1568746501 | Edward Charles Mcguinness | Counselor | 195 Crowe Ave, Mars, PA 16046-3303 | 2011-10-10 |
| 1871898882 | Julie D Russell | Counselor | 195 Crowe Ave, Mars, PA 16046-3303 | 2011-01-21 |
| 1376664250 | Jan Davis-mars Home for Youth | Counselor | 521 Route 228, Mars, PA 16046-3123 | 2007-04-02 |
| 1992826887 | Julie Zubryd-mars Home for Youth | Counselor | 521 Route 228, Mars, PA 16046-3123 | 2007-04-02 |
| Find all providers in MARS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.