Healthcare Provider Details

I. General information

NPI: 1285597872
Provider Name (Legal Business Name): WATERSHED WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 S BROAD ST
GROVE CITY PA
16127-1504
US

IV. Provider business mailing address

248 S BROAD ST
GROVE CITY PA
16127-1504
US

V. Phone/Fax

Practice location:
  • Phone: 724-201-9088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: BENNETT MINCHEN
Title or Position: OWNER
Credential: LPC
Phone: 724-201-9088