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Organization
PREMIER WELLNESS CENTER LLC
Active
Organization
PREMIER WELLNESS CENTER LLC
Active
Other names
Premier Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA KONIEWICZ PSY.D, LPC, CAADC (OWNER)
(484) 442-0073
Entity
Organization
Contact information
Practice address
511 N PROVIDENCE RD, MEDIA, PA 19063-2518
(484) 442-0073
(484) 205-4950
Mailing address
511 N PROVIDENCE RD, REAR ENTRANCE, MEDIA, PA 19063-2518
(484) 442-0073
(484) 205-4950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/15/2025
Last updated
06/02/2026
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