Healthcare Provider Details

I. General information

NPI: 1932999257
Provider Name (Legal Business Name): WYLLPEN WELLNESS COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WYLLPEN DR
WEST CHESTER PA
19380-6642
US

IV. Provider business mailing address

200 WYLLPEN DR
WEST CHESTER PA
19380-6642
US

V. Phone/Fax

Practice location:
  • Phone: 484-222-8657
  • Fax:
Mailing address:
  • Phone: 484-222-8657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SARAH NOTEBAERT
Title or Position: OWNER/MEMBER
Credential: LCSW, CAADC
Phone: 484-222-8657