MEDICARE: WONDER BY WONDER, 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1427910942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WONDER BY WONDER, LLC

Provider Business Mailing Address
First Line	:	920 FRANCIS RD
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-4527
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 FRANCIS RD
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-4527
Country	:	US
Telephone Number	:	804-659-2366
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER
Name	:	MS. BRITTANY DELVECCHIO
Credential	:	LCSW
Telephone Number	:	804-659-2366

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “WONDER BY WONDER, LLC ” Practice Location

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