Healthcare Provider Details

I. General information

NPI: 1356250096
Provider Name (Legal Business Name): ENCANTO WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 BUTLER AVE STE 301-C
LANCASTER PA
17601-6308
US

IV. Provider business mailing address

255 BUTLER AVE STE 301-C
LANCASTER PA
17601-6308
US

V. Phone/Fax

Practice location:
  • Phone: 717-340-2204
  • Fax:
Mailing address:
  • Phone: 717-340-2204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: YANINA MARTI-RAMIREZ DE ARELLANO
Title or Position: MEMBER
Credential: DSW, LCSW, RPT-S
Phone: 717-340-2204