# CORE WELLNESS CENTERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CORE WELLNESS CENTERS LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215752670
- **Authorized official:** DUANE LASSITER (MEMBER)
- **Authorized official phone:** (215) 432-7396

## Contact information

- **Practice address:** 2952 KENSINGTON AVE, PHILADELPHIA, PA 19134-3017
- **Practice address phone:** (215) 432-7396
- **Mailing address:** 1515 MARKET ST STE 1200, PHILADELPHIA, PA 19102-1932
- **Mailing address phone:** (215) 419-5842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2024
- **Last updated:** 11/11/2025
