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General NPI Number Information
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NPI Number | 1770472672
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Entity Type | Organization
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Legal Business Name | ATWELLS WELLNESS CENTER LLC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 5115 N 9TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19141-4003
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Country | US
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Telephone | 267-709-7147
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 557 BOX 2432
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City | FPO
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State | AP
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Zip | 96379-0025
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Country | US
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Telephone | 267-709-7147
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DANIELLA NICOLE ATWELL
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Credential |
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Telephone | 267-709-7147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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