Healthcare Provider Details

I. General information

NPI: 1487542023
Provider Name (Legal Business Name): WEMA SERVICE PROVIDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 GICREAST RD SUITE 210
LONDONDERRY NH
03053
US

IV. Provider business mailing address

75 GILCREAST RD UNIT 210
LONDONDERRY NH
03053-3566
US

V. Phone/Fax

Practice location:
  • Phone: 603-416-3101
  • Fax:
Mailing address:
  • Phone: 603-416-3101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DELVINE NTENGERI
Title or Position: MANAGING DIRECTOR
Credential: LCMHC
Phone: 603-416-3101