Healthcare Provider Details

I. General information

NPI: 1497670392
Provider Name (Legal Business Name): NDC WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 VIRGINIA DR STE 400
FORT WASHINGTON PA
19034-3210
US

IV. Provider business mailing address

1300 VIRGINIA DR STE 400
FORT WASHINGTON PA
19034-3210
US

V. Phone/Fax

Practice location:
  • Phone: 267-625-0003
  • Fax:
Mailing address:
  • Phone: 267-625-0003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: NATALIE CORAPI
Title or Position: OWNER
Credential: MS, LAPC
Phone: 267-625-0003