Healthcare Provider Details

I. General information

NPI: 1710820451
Provider Name (Legal Business Name): STREAMS OF HOPE BEHAVIORAL HEALTH & WELLNESS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 S OAK AVE
ALDAN PA
19018-3724
US

IV. Provider business mailing address

216 BRAKEL LN
MEDIA PA
19063-5920
US

V. Phone/Fax

Practice location:
  • Phone: 267-355-4808
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JENEBA K SAWANEH
Title or Position: CEO
Credential:
Phone: 267-355-4808