Healthcare Provider Details

I. General information

NPI: 1205346780
Provider Name (Legal Business Name): HEALTH MANAGEMENT & WELLNESS SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2017
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E KING ST # 510
YORK PA
17403-1781
US

IV. Provider business mailing address

2124 LOUISE AVE
YORK PA
17403-4819
US

V. Phone/Fax

Practice location:
  • Phone: 301-266-0493
  • Fax:
Mailing address:
  • Phone: 301-266-0493
  • Fax: 844-587-1405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateMD

VIII. Authorized Official

Name: HEATHER M WALLICK
Title or Position: CRNP
Credential: ANP-C
Phone: 301-226-0493