Healthcare Provider Details

I. General information

NPI: 1609704089
Provider Name (Legal Business Name): LEV COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7613 OLD YORK RD
MELROSE PARK PA
19027-3010
US

IV. Provider business mailing address

1810 N 71ST ST # 4D
PHILADELPHIA PA
19151-2306
US

V. Phone/Fax

Practice location:
  • Phone: 347-770-1826
  • Fax:
Mailing address:
  • Phone: 347-770-1826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH I GROSH
Title or Position: THERAPIST
Credential: LMHC, LPC
Phone: 347-770-1826