Healthcare Provider Details

I. General information

NPI: 1841102928
Provider Name (Legal Business Name): HEALU LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 HAVERFORD AVE APT 5
PHILADELPHIA PA
19104-2818
US

IV. Provider business mailing address

3920 HAVERFORD AVE APT 5
PHILADELPHIA PA
19104-2818
US

V. Phone/Fax

Practice location:
  • Phone: 215-722-9102
  • Fax:
Mailing address:
  • Phone: 215-722-9102
  • 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: SEAN MITCHELL
Title or Position: OWNER
Credential: LPC
Phone: 215-722-9102