Healthcare Provider Details

I. General information

NPI: 1932021052
Provider Name (Legal Business Name): AFEPA BEHAVIORAL HEALTH AND WELLNESS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 SANTA ANITA DR
NORTH WALES PA
19454-4295
US

IV. Provider business mailing address

703 SANTA ANITA DR
NORTH WALES PA
19454-4295
US

V. Phone/Fax

Practice location:
  • Phone: 265-551-6424
  • Fax: 267-367-5848
Mailing address:
  • Phone: 265-551-6424
  • Fax: 267-367-5848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: FELICIA BORTSOO BORKETEY
Title or Position: PROVIDER
Credential: PMHNP-BC
Phone: 614-592-1220