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NPI Code Detail

MEDICARE: SEXUAL WELLNESS PA, LLC

MEDICARE: SEXUAL WELLNESS PA, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1134927643
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEXUAL WELLNESS PA, LLC
Provider Business Mailing Address
First Line : 561 W 31ST ST
Second Line :
City : ERIE
State : PA
Zip : 16508-1742
Country : US
Telephone Number : 814-580-8677
Fax Number : 888-690-4135
Provider Business Practice Location Address
First Line : 3910 CAUGHEY RD STE 200
Second Line :
City : ERIE
State : PA
Zip : 16506-4098
Country : US
Telephone Number : 814-580-8677
Fax Number : 888-690-4135
Authorized Official
Title or Position : OWNER
Name : MIRANDA GALBREATH
Credential : LPC, CST
Telephone Number : 814-580-8677
Provider Enumeration Date : 03/03/2025
Last Update Date : 02/06/2026

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Directions to “SEXUAL WELLNESS PA, LLC ” Practice Location

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