Healthcare Provider Details

I. General information

NPI: 1730500919
Provider Name (Legal Business Name): INTEGRATED WELLNESS ASSOCIATES OF WEST CHESTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2013
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SPRINGDALE DR STE 100R
EXTON PA
19341-2866
US

IV. Provider business mailing address

801 SPRINGDALE DR STE 100R
EXTON PA
19341-2866
US

V. Phone/Fax

Practice location:
  • Phone: 610-696-1543
  • Fax: 610-696-1819
Mailing address:
  • Phone: 484-432-3667
  • Fax: 610-696-1543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ABBY S. MCGILLIVRAY
Title or Position: PRESIDENT
Credential: LCSW
Phone: 610-696-1543