Healthcare Provider Details

I. General information

NPI: 1861357972
Provider Name (Legal Business Name): THE ECLECTIC NEST, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

558 W UWCHLAN AVE STE 2B
EXTON PA
19341-3050
US

IV. Provider business mailing address

558 W UWCHLAN AVE STE 2B
EXTON PA
19341-3050
US

V. Phone/Fax

Practice location:
  • Phone: 610-482-4496
  • Fax: 484-873-3903
Mailing address:
  • Phone: 610-482-4496
  • Fax: 484-873-3903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSE MATTHEWS
Title or Position: PSYCHOLOGIST AND OWNER
Credential: PSYD
Phone: 610-482-4496