MEDICARE: NESTOR'S THERAPY AND WELLNESS 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1295679983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NESTOR'S THERAPY AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	125 CUMMINS AVE
Second Line	:
City	:	HOUSTON
State	:	PA
Zip	:	15342-1109
Country	:	US
Telephone Number	:	724-554-0038
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 CUMMINS AVE
Second Line	:
City	:	HOUSTON
State	:	PA
Zip	:	15342-1109
Country	:	US
Telephone Number	:	724-554-0038
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	DEVYN NESTOR
Credential	:	LCSW
Telephone Number	:	724-554-0038

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/16/2026

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