Healthcare Provider Details

I. General information

NPI: 1366120248
Provider Name (Legal Business Name): WREH'S WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 ANSYS DR STE 102
CANONSBURG PA
15317-0403
US

IV. Provider business mailing address

2400 ANSYS DR STE 102
CANONSBURG PA
15317-0403
US

V. Phone/Fax

Practice location:
  • Phone: 724-405-7049
  • Fax:
Mailing address:
  • Phone: 724-405-7049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TUTU A WREH
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW, C-SWHC
Phone: 724-405-7049