| Sweetwater Behavioral Health And Wellness, Pc | |
|
22 Beaver St Ambridge PA 15003-2487 | |
| (412) 347-1978 | |
| Not Available |
| Full Name | Sweetwater Behavioral Health And Wellness, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 22 Beaver St, Ambridge, Pennsylvania |
| Authorized Official Name and Position | Wynne Lundblad (PRESIDENT) |
| Authorized Official Contact | 4123471978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweetwater Behavioral Health And Wellness, Pc 618 Beaver St Ste 200 Sewickley PA 15143-1906 Ph: (412) 347-1978 | Sweetwater Behavioral Health And Wellness, Pc 22 Beaver St Ambridge PA 15003-2487 Ph: (412) 347-1978 |
| NPI Number | 1942775853 |
|---|---|
| Provider Enumeration Date | 10/06/2018 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Medicare PECOS PAC ID | 8628300449 |
|---|---|
| Medicare Enrollment ID | O20191029000985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942775853 | NPI | - | NPPES |
| Provider Name | Melanie L Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669813093 PECOS PAC ID: 5294047742 Enrollment ID: I20150713000077 |
| Provider Name | Michelle A Dove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457691420 PECOS PAC ID: 0244539252 Enrollment ID: I20160426000947 |
| Provider Name | Wynne R Lundblad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205198199 PECOS PAC ID: 1951692763 Enrollment ID: I20160627001216 |
| Provider Name | Julia Farquhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467942292 PECOS PAC ID: 4981959707 Enrollment ID: I20230107000117 |
| Provider Name | Madison Plasket |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073354742 PECOS PAC ID: 2466984331 Enrollment ID: I20250114003617 |
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