Healthcare Provider Details

I. General information

NPI: 1841115508
Provider Name (Legal Business Name): KUJIPENDA COUNSELING AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S LANSDOWNE AVE APT A1
LANSDOWNE PA
19050-2409
US

IV. Provider business mailing address

400 S LANSDOWNE AVE APT A1
LANSDOWNE PA
19050-2409
US

V. Phone/Fax

Practice location:
  • Phone: 267-205-5334
  • Fax:
Mailing address:
  • Phone: 267-205-5334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DESMOND WEST
Title or Position: PSYCHOTHERAPIST
Credential: LPC
Phone: 267-205-5334