Healthcare Provider Details
I. General information
NPI: 1518871839
Provider Name (Legal Business Name): BUCKS THERAPY & WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 CANALS END RD STE 201G
BRISTOL PA
19007-4821
US
IV. Provider business mailing address
2 CANALS END RD STE 201G
BRISTOL PA
19007-4821
US
V. Phone/Fax
- Phone: 267-272-5536
- Fax:
- Phone: 267-272-5536
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
SARA
SEGAL
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LPC
Phone: 267-272-5536