Healthcare Provider Details

I. General information

NPI: 1548121130
Provider Name (Legal Business Name): GUIDE TO WELLNESS THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 OXFORD VALLEY RD STE 603A
YARDLEY PA
19067-7712
US

IV. Provider business mailing address

950 W TRENTON AVE UNIT 846
MORRISVILLE PA
19067-3720
US

V. Phone/Fax

Practice location:
  • Phone: 215-586-3102
  • Fax: 215-618-2331
Mailing address:
  • Phone: 215-586-3102
  • Fax: 215-618-2331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LIANA DEIRDRE URBAN
Title or Position: VICE PRESIDENT
Credential:
Phone: 215-586-3102